Review of 500 consecutive MRI studies was undertaken to assess the fre
quency and the appearances of cystic pineal glands. Cysts were encount
ered in 2.4 % of cases. Follow-up examination demonstrated no change i
n these cysts and they were considered to be a normal variant. Size, M
RI appearances and signs associated with this condition are reported i
n order to establish criteria of normality.