The CT imaging manifestation of craniopharyngioma is mainly reflected in the bone destruction in the saddle area, and calcified spots are visible in the interior of craniopharyngioma, and half of the patients may have shell-like calcified shadows at the edge of the tumor in the imaging manifestation. Specific conditions need to go to the hospital and be interpreted by a specialized imaging physician, and if treatment is needed, please seek medical treatment promptly. The CT image of craniopharyngioma lesion commonly has a round oval or irregular shape, if it is a cystic tumor, it presents a low-density round shape with very clear boundaries at the edge, if it is solid, it will appear isodense round shape, and there are also a small number of patients whose CT image manifestation will become lobulated. If the patient’s lesion site has cystic wall calcification, then the image performance of the calcified foci in CT will present as an oval shape similar to an egg, and if it is a substantial mass, all of them will present as a speckled image.