Persistent toe-walking, hypotonia, trouble with balance, feet turning in: headaches and lumbosacral area hemangioma. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is scattered paranasal sinus mucosal thickening.Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. There is no evidence of mass lesions or abnormal enhancement in the spine. The paravertebral soft tissues are unremarkable.
1. No evidence of Chiari malformation, cerebral infarction, or intracranial tumor.2. No evidence of thoracic or lumbar spine lesions. The lumbosacral skin hemangioma is not discernible.