I thought that the neuro may have intentionally left it out at first as I was the one who requested the MRI. Still this seems to be yet another area of medical knowledge that is lacking. No solid research on causes of these cysts, function of the pineal gland, ways to diagnose lesions in this area properly.

If I wasn't experiencing symptoms associated with pineal cysts I would not be so concerned. The visual symptoms that appeared, and the tinnitus worsening with SSRI administration and melatonin discontinuation lead me to believe there is a connection. The pineal gland stored serotonin and produces melatonin. It can't be a coincidence. And of course I have the debilitating fatigue and light sensitivty. Hardly an "incidental" finding in my case.

Now will I have surgery for this? Not if the symptoms improve or the cyst doesn't enlarge.

Also, it is impossible for a doctor to tell for certain whether or not the mass is cancerous strictly from imaging.

All reasonable grounds for concern.