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​Mac OS comes with perl 5.18.. The module MNI/Startup.pm is not part of standard perl, and so it is provided in the freesurfer distribution. When you source either the FreeSurferEnv.csh or FreeSurferEnv.sh script the environment variable MNI_PERL5LIB should get set to $FREESURFER_HOME/mni/lib/../Library/Perl/Updates/5.12.3 You should be able to ls that path and see an MNI Perl module there, i.e., the file MNI.pm.