Pineal cyst on MRI in 2014 - follow up exam and headaches. There is a cystic pineal gland that overall measures up to approximately 10 mm, without associated 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 are subcentimeter retention cysts in the maxillary sinuses.
A cystic pineal gland that measures up to approximately 10 mm likely represents benign cystic degeneration.