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Click A two-day old girl with congenital midline cervical cleft. Multiplanar grayscale and color Dopple sonography demonstrate a blind-ending, caudally-oriented tract without associated vascularity. The thyroid gland appears intact. Images obtained in multiple scan planes using an 18 MHz linear transducer (GE Logiq)

Click A two-day old girl with congenital midline cervical cleft. Axial T2-weighted image demonstrates a hyperintense linear cranio-caudally oriented tract from the midline anterior neck extending to the manubrium. Images obtained at 3.0 Tesla MRI (GE Discovery). Axial T2 TR/TE - 3000/62 ms, 1.5 mm slice thickness, noncontrast.

Click A two-day old girl with congenital midline cervical cleft. Sagittal T2-weighted image demonstrates a hyperintense linear cranio-caudally oriented tract from the midline anterior neck extending to the manubrium. Images obtained at 3.0 Tesla MRI (GE Discovery). Sagittal T2 TR/TE - 3000/62 ms, 1.5 mm slice thickness, noncontrast.

Click A two-day old girl with congenital midline cervical cleft. Axial T1-weighted image demonstrates a hypointense linear cranio-caudally oriented tract from the midline anterior neck extending to the manubrium without associated cortical disruption. Images obtained at 3.0 Tesla MRI (GE Discovery). Axial T1 TR/TE - 600/8 ms, 1.5 mm slice thickness, noncontrast.

Click A two-day old girl with congenital midline cervical cleft. Sagittal T1-weighted image demonstrates a hypointense linear cranio-caudally oriented tract from the midline anterior neck extending to the manubrium without associated cortical disruption. Images obtained at 3.0 Tesla MRI (GE Discovery). Sagittal T1 TR/TE - 600/8 ms, 1.5 mm slice thickness, noncontrast.

Click A two-day old girl with congenital midline cervical cleft. Axial post-gadolinium T1-weighted image with fat saturation demonstrates a peripherally enhancing linear cranio-caudally oriented tract from the midline anterior neck extending to the manubrium. Images obtained at 3.0 Tesla MRI (GE Discovery). Axial T1 TR/TE - 600/8 ms, 1.5 mm slice thickness, noncontrast.

Click A two-day old girl with congenital midline cervical cleft. Sagittal post-gadolinium T1-weighted image with fat saturation demonstrates a peripherally enhancing linear cranio-caudally oriented tract from the midline anterior neck extending to the manubrium. Images obtained at 3.0 Tesla MRI (GE Discovery). Sagittal T1 TR/TE - 600/8 ms, 1.5 mm slice thickness, noncontrast.