The “Hamantaschen” Sign: A Unique Appearance of Lesions Arising from the Sphenoid Greater Wing

When a mass or other lesion involves the sphenoid greater wing, soft tissue can expand circumferentially beyond the cortex. By cross-sectional imaging, this characteristic pattern resembles a hamantaschen, a triangular filled cookie traditionally served during the Jewish holiday of Purim. Awareness of this “hamantaschen” sign can alert the radiologist to a lesion of the sphenoid greater wing.