We present a case of duplication of the pituitary gland with associate
d clefts of the hard palate and body of the sphenoid and a midline pal
atine dermoid. This is an extremely rare malformation with only six pr
evious case reports in the literature, Imaging findings are discussed
and literature reviewed for possible morphogenesis, including its asso
ciation with partial twinning and midline cleft face syndrome.