Please put image posts in the Images Forum. Does this look like a Pilonidal Cyst? I just notices it 2 days ago after working out. I was itching in the upper crack area. I noticed it was red, but I took it as a rash. a day or so later I noticed this pinhole. I had a perirectal abscess and fistula before, so I know what that pain feels like and its NO where near that pain ful. If this is one, whats the treatment? Any insight?