Pineal mass: headaches and vertigo. There is a cystic pineal gland that measures up to 10 mm, without nodular enhancement. There is no evidence of intracranial hemorrhage or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a small right maxillary sinus rentention cyst.
A cystic pineal gland that measures up to 10 mm may represent benign cystic degeneration. 