Teratoma of the head and neck is a rare lesion comprising 6 % of all t
eratomas, with only 3 % occurring in the cervical region [1]. Most are
non-malignant lesions consisting of a variety of tissues of variable
maturity, commonly with neuroepithelial and thyroid elements. They oft
en present as a large cystic mass in the neck of a neonate or infant a
nd frequently cause respiratory embarrassment due to local mass effect
necessitating urgent surgical intervention. They may be difficult to
distinguish from cystic hygromas, both clinically and radiologically.
Imaging plays an important role in the assessment of these lesions, es
pecially in preparation for surgery. We present a case of cervical ter
atoma and emphasise the role of MRI.