Medulloblastomas have been characterized as solid, homogeneously enhancing, midline masses of the posterior fossa. To evaluate atypical MRI characteristics, we retrospectively reviewed 13 histologically proven medulloblastomas. MRI examinations were correlated with pathologic specimens and operative reports. Atypical features included cyst formation (77%), irregular enhancement (19%), extension through fourth ventricle foramina (15%), and presentation as a cerebellopontine angle mass (8%). We conclude that "atypical" characteristics are common. In the child or young adult, medulloblastomas must be included in the differential diagnosis of any posterior fissa mass.