A 36-year-old man presented to the emergency room with a complaint of severe headache that persisted for several hours. He had been suffering from unremitting, low-intensity headaches, treated with nonsteroidal anti-inflammatory drugs. The patient denied experiencing any previous brain trauma. Computed tomography (CT) without contrast administration revealed an expansive mass in the skull, centered on the left parietal bone.The mass was inhomogeneous with a mean density of 12 HU. Higher-density linear strands, without enhancement after administration of contrast medium, were visible at the periphery of the mass. The outer table of the skull was thin but continuous, whereas the inner table was barely visible. The mass displaced the contiguous parietal and frontal lobes of the brain (Fig. 1).At MRI, two distinct lesions were present: an inhomogeneous intradiploic mass and, inferior to this mass, an arachnoid cyst of the middle fossa of the brain. T2*-weighted sequences showed no traces of bleeding within the intradiploic mass (Fig. 2).The diagnosis can be found at