The congenital midline cervical cleft is a rare entity that is usually diagnosed clinically, however, the radiologist may be asked to evaluate this anomaly to further characterize anatomy and exclude other differential considerations. Recognition of an anterior cervical midline skin defect with an underlying blind-ending sinus tract that is T1 hypointense, T2 hyperintense, and demonstrates peripheral contrast enhancement on MR allows early surgical intervention to prevent future complications.

From the manuscript

Congenital Midline Cervical Cleft

Abstract
Congenital midline cervical cleft is a rare anomaly that typically presents in the neonatal period as a thin suprasternal vertical band of erythematous skin with a nipple-like projection superiorly, which may exude fluid. We present the clinical and pathophysiologic features and the imaging findings of this uncommon, and rarely described entity in a newborn girl.