![]() ![]() The authors concluded that cysts with typical features may be followed up clinically, rather than with imaging 2. In a study of 32 patients with pineal cyst, followed up from 6 months to 9 years, cyst enlargement was found in only 3 patients, with 75% remaining the same and the rest shrinking. In almost all cases no treatment is necessary, and in most cases, provided that the cyst is small, no imaging follow-up is required. in atypical cases enhancement may be nodular, or there may be evidence of previous hemorrhage into the cysts. ![]() it is important to note that if postcontrast imaging is delayed (60-90 min), gadolinium may diffuse into the cyst fluid and may lead to the mass appearing solid.enhancement is usually thin (DWI/ADC: they demonstrate no restricted diffusion. ![]()
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