9-year-old male with a history of an abnormal MRI. Evaluate for interval change. MRI Brain:Again seen is a decreased craniofacial ratio which may suggest microcephaly. Otherwise, the brain shows no acute infarct or hemorrhage and the myelination is appropriate for age. The ventricles and other CSF-containing spaces are normal in size. There is no mass-effect or midline shift. The major intracranial vascular flow voids are preserved.MRI Pituitary:The pituitary bright spot is preserved. The pituitary gland has a maximum height of 4 mm and again there is an unchanged concave superior border, which is slightly, focally more concave to the left of the pituitary infundibulum insertion. The pituitary tissue is homogenous without focal lesion. The pituitary infundibulum is of normal thickness and midline.
Redemonstration of stable subtle nonspecific asymmetric concavity of the left upper margin of the pituitary gland.