Q18. . It. Idiopathic gout, left ankle and foot. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. Now I’m freaking myself out because everything you see on google says tethered spinal cord. The gluteal cleft most of the time heals on its own but if not, then a proper treatment along with a pain reliever is recommended. The thickness of the excised tissue and of the mobilized flap is only 2–3 mm and the incision line is also somewhat different. Affected individuals. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. Sacral dimples can be “typical” or “atypical”. My suspicion is that they probably will find the exact same cyst if not it being larger it'll probably be the exact same size in two to four weeks and then they will opt for surgery. 622 - other international versions of ICD-10 M21. 1 The latter name, although. Other names are the anal cleft, crena analis, crena. Usually asymptomatic; affects the head, neck, back, or. Pilonidal disease begins as loose body hairs get caught in these pores and find. I had an I&D today and the pus the swab was sent to a Lab. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. It is also called butt crack or ass crack. Anatomy atlas of the female pelvis: 101 labeled illustrations of the female genital system (ovaries, uterine tubes, uterus, vagina, vulva, clitoris) and pelvic cavity (bladder, rectum, pelvic diaphragm, perineum with innervation and blood supply)Complications of surgical and medical care, not elsewhere classified T80-T88. Perianal tinea is uncommon. Figure 3. Gluteal cleft and coccyx stage 3 with DTPI in wound bed: Coccyx: Wound improved and was 1. Objective: To evaluate hidradenitis surgical patients. M67. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. M21. The gluteal region refers to the general region of the. As a result of friction, significant scale if often lacking. A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. These are the two fleshy fatty prominences formed by the gluteus maximus muscles. This study included 230 infants under 6-months-old (130 males and 100 females; mean age 52. Location-in skin folds, gluteal cleft, or the perianal area Shape-diffuse superficial spots, narrow linear breaks in the skin, and “kissing lesions” (on both sides of the buttocks Depth-superficial, partial thickness Necrosis-none Margins-can be irregular with pink or white macerated edges Color-pink to red baseCutaneous anomalies such as skin dimples or deviated gluteal folds are well known as stigmata of OSD and are indicators for further evaluation; however, the association between cutaneous. Before you start specific techniques, remind the client about diaphragmatic breathing to help reduce any painful symptoms that may occur. Messages 1,130 Location Hibbing, MN Best answers 0. 821A. Rarely, they can be indicative of underlying spinal defects. (170 g) 12 Triad applied directly to the wound Triad impregnated into gauze Facilitating autolytic debridement 1. 821 may differ. If too much fat it can be repaired by liposuction and fat transfer to the gluteal dimple. 0 became effective on October 1, 2023. 072 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of M26. Then, the surgical wound is closed by rotating other tissue to cover the area. Typically, pilonidal cysts occur after puberty. TIL that Ancient Romans added lead syrup to wine to improve color, flavor, and to prevent fermentation. 8 became effective on October 1, 2023. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S30. The internet is a wonderful resourceE. Motor function is generally more affected than sensory function and is correlated with the level of spinal aplasia. It most commonly affects males aged 16-30 years. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. Visit often to see all the newly. 8%. It is also known by other more complicated names, such as gluteal senile dermatosis or hyperkeratotic lichenified skin lesion of the gluteal region. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. A large towel can cover the adductors of the table-side leg. A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. 5 oz. midline without visible drainage. Download MyChart to connect with your care team. Some children have a cleft lip or cleft palate because of changes in their genes. Pilonidal literally means a “nest of hair. Hi, I have spinal biftia, tethered cord and unknown brain pressure right side ,because knowone will put out and I hsve teeth that don't numb in the back so I was offered aditivan, I never takin it before and some nervous of side effects ,I have sleep apnea will this lower my oxgen levels,during this and will this even help get through where part of my tooth. Perineum. Use Additional. Results. Atypical dimples may be located higher up on the back or off to the side. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. This causes the affected foot to have missing toes, a V-shaped cleft, and other anatomical differences. Cluster of abscesses under the surface of the skin; transient with random distribution; usually triggered by an infection. The patient is able to sit, has full pelvic range of motion, and sexual intercourse. 34 - other international versions of ICD-10 M26. Medical Review Physician. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. While the exact mechanism of how it occurs is not fully understood, an infection occurs at the base of the hair follicle at the base of the back and can track to areas in the skin and create an abscess. The anterior part of the soft palate is not visible but the uvula can be demonstrated. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. 7 - other international versions of ICD-10 Q35. Congenital branchial cleft anomaly. ICD-10-CM Diagnosis Code M76. It is 9 times more common in males than in females 2. Has anyone had any expierence with this ?Answer: Gluteal cleft. Medially, the region extends to the mid-dorsal line and is called the intergluteal cleft, which is the groove that separates the buttocks from each other. · No relation to gluteal cleft · Distance from anus >2. Congenital sacral dimple. cl ose to or within the natal cleft. Q82. Psoriasis can also affect other genital tissue, including the penis, vulva. David. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). In very mild cases, such as isolated. Epidermoid cyst. Should I be worried?Diagnosis. 5. The distinctive anatomic and radiologic features are discussed. zoemcr. Expand all. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. hair in the gluteal cleft. These cysts are usually caused by a skin infection and they often. The 2024 edition of ICD-10-CM M10. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 622 may differ. These are the two fleshy fatty prominences formed by the gluteus maximus muscles. Introduction. 6 - other international versions of ICD-10 Q82. Coccydynia is a common condition that is known to be difficult to evaluate and treat. The patient denied any other systemic symptoms. The internal iliac artery arises where the common iliac artery bifurcates into internal and external iliac arteries; it then crosses the pelvic brim to. Messages 2,335 Location E. MANAGEMENT The first step in managing pilonidal disease is delineating an acute episode of inflammation from chronic and recur-rent disease (see Evaluation and Treatment Algorithm). Symptoms are usually minimal, but mild to severe itching may occur. The rules are now final and are effective September 1, 2021. 16. Pain of the front of the thigh is likely to be due to a problem with the compression of the nerves of the thigh, either the Femoral nerve or upper lumbar nerve root. Several sites can be affected including the axillae, under the breasts, umbilicus, groins, gluteal cleft (between the buttocks), around the anus, penis / scrotum and the vulva. 3 The surgeon marks the standing patient. Incisions (4 mm) in the superior aspect of the natal gluteal cleft, posterior superior iliac crest centrally, and inferior gluteal cleft were used to approach the buttock from the cranial and caudal directions, respectively. 578 The jouRnal of family pRacTice | SepTemBeR 2015 | Vol 64, no 9 Photo RoUNDS diculopathy, hyperesthesia) reinforce the hy-pothesis that genital herpes can infect ganglia that are also associated with sacral nerves. The reason I'm concerned is because for 4 months now I've had pain in my tailbone area which is very tender to touch and despite having attended the osteopath for 4 sessions. Follow your baby's amazing development. Sacrum, coccyx. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. The 2024 edition of ICD-10-CM Q82. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. difficult-to-dress wounds with light-to-moderate exudate such as those near the gluteal cleft. Cleft foot is very rare, affecting fewer than 1 in 1,000,000 babies. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. Conclusions: Although lower body lift patterns may be based lower for better contour of the buttocks, there is an increased propensity for gluteal cleft elongation. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Pilonidal Cyst. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. The gluteal cleft is the area of separation between the two buttocks. Sacral dimples and pits are more common than Closed Neural Tube Defects. Applicable To. Butt psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks, gluteal cleft ("crack") anus, and pubic area. FACSsshureih@msn. The superior tip of the intergluteal. • Suitable for use on neonates1. We cut down about 2-3 cm through. Cranial defects include anencephaly, exencephaly, and encephalocele. Design Before-and-after trial. 2-7. It tends to happen in areas with skin folds. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. Doctor of Osteopathic Medi. They are caused by interaction of genetic and environmental factors, and are prevented with folate supplementation. In the patient's gluteal cleft, about 3 cm away toward the coccyx, there was a perineal wound. The 2024 edition of ICD-10-CM P13. Abstract. 9 may differ. A 71-year-old woman with no relevant medical history presented with recurrent painful erosions on the gingivae and gluteal cleft of 1 year’s duration. 2 is considered exempt from POA reporting. It happens when muscles don’t fuse during fetal development. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). my full-term newborn boy has an asymmetric 'y' shaped crease at the top of his intergluteal cleft. The most common cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). generally speaking, scoliosis can cause asymmetry of back and buttocks. 061 became effective on October 1, 2023. gluteal cleft. Being sun. We would like to show you a description here but the site won’t allow us. 419 became effective on October 1, 2023. 1. The gluteal region consists of the muscles that form. Dissection of gluteal region and posterior compartment of the thigh was done to expose the sciatic nerve. It is a visible border separating ass into two parts. I discovered a hard, painfu massl on my gluteal cleft area. 819A - other international versions of ICD-10. 31-year-old male with history of human immunodeficiency virus (HIV) presented with complaints of pain and redness to the right inner buttock; vital signs were within normal limits. 1 Given the low incidence rate of OSD at 0. OBJECTIVE. A pilonidal cyst is an infected hair follicle that occurs at the top of the buttocks. Download scientific diagram | Bifurcated gluteal fold. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. Pus or blood leaking from an opening in the skin. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The aim of this article was to summarize results of the consensus sessions that occurred. Median (range) time from ICI initiation to inverse psoriasis development or flare was 7 (4-12. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. 4. Characteristic features include short intergluteal cleft, flattened buttocks, narrow hips, distal leg atrophy, and talipes deformities. 0 - other international versions of ICD-10 Q36. The gap between the larynx and the esophagus is located above the. ICD 10 code for Superficial foreign body of lower back and pelvis, initial encounter. The gluteal cleft is protected with Ioban dressing, and the sterile field is draped out from the lumbar spine to the distal thigh ∼2-3 cm above the knee. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. The inferior extent of the buttock is marked by a gluteal fold of skin below. A pilonidal cyst typically is diagnosed. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. 1 The underlying cause of pilonidal disease is. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of the 14 infants underwent a lumbar magnetic resonance imaging. 5% Marcaine with epinephrine, we made a vertical incision along the gluteal cleft connecting the two wounds. Pilonidal sinus disease is a disease of the inter-gluteal region *, characterised by the formation of a sinus in the cleft of the buttocks. Pediatr Rev. Th…Results. “High-risk” dimples are defined as those that are (1) deep; (2) larger than 0. 5cm · >5mm diameter · Not midline in location · Base not visible (Schenk, 2006) Return to Referral and Diagnosis Return to Surgery and Follow-up Simple Sacral Intragluteal Dimple Dimple within a symmetric gluteal crease AND less than 5 m i nd a etrWITH h sc u abno m l it es A soc ia t. Gluteal cleft is the vertical partition which separates buttocks. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. 072 - other international versions of ICD-10 M10. When he questioned the woman further he found that she favored tanning in the nude and. The rules amend definitions, the out-of-state application process, transfer programs, school approval, training hours, faculty, continuing education, standards of practice, and. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. The child’s Weprin and Oakes5 conducted a thor- the authors examined the records of condition will need to be confirmed by ough English language literature search 1,000 patients — mostly younger than MRI and repaired after age 8 months per of cutaneous coccygeal abnormalities. Ultrasound is valuable for imaging of infants and young children and for evaluating superficial lesions. A form of genital psoriasis, it occurs when the autoimmune disease affects the skin on the buttocks or in the skin folds around the anus. Q35. k. The. 2. The 2024 edition of ICD-10-CM M26. Perineal fistula and other anorectal. I’ve noticed my baby has a Y shaped cleft on her bottom. The patients whose HSV infection has “knife-cut” clinical lesions are immunosuppressed secondary to either an underlying medical condition or a systemic therapy or both. Based on your photo, it looks like it could be improved with surgery. With this infection, your skin may become scaly and cracked or develop bumps or blisters. Like cleft palate, bifid uvula is a congenital condition (birth defect). The rounded shape of the buttock is due to the gluteus maximus muscle. Infants with TCS may have lumbosacral cutaneous malformations. 829A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1). This is the American ICD-10-CM version of Q35. Collapse all. I discovered a hard, painfu massl on my gluteal cleft area. At the same time, an increasingly common location for irritant DD is the perianal skin, where, in the presence of frequent stools or diarrhea, the diaper is not able to adequately wick away feces. Has anyone had any expierence with this ? Thanks x. The most common neural tube defects include anencephaly, which affects brain and skull development and is. Choices for etiologic factors were pressure, moisture, incontinence-associated dermatitisThe gluteal region is located at the back of the body, representing the transition point between the trunk and the lower limbs. 2-7. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). The 2024 edition of ICD-10-CM M21. 8±42. 1 Given the low incidence rate of OSD at 0. 061 may differ. The crooked gluteal fold seems to be caused by more fat on one side than the other. Dear Genius39459, it is hard to tell for sure without an examination. The intergluteal cleft (a. On the other hand, "sacral dimples" are higher on the lower back, usually on both sides (not in the middle). Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. Often during early embryology midline structures have not get formed but I rather from the left and right sides coming together. Spina bifida is a birth defect that occurs when the spine and spinal cord don't form properly. Tinea cruris is another name for jock itch. Arteries. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. kdmahnke13. Answer: Gluteal cleft. Background: Hidradenitis suppurativa is a progressive, recurrent inflammatory disease. Gluteal tendinopathy is a type of tendon disorder in your hips and buttocks area (gluteal region). Basic Facts HAIR: The term “Pilonidal” technically means “nest of. It demonstrated a 2. Psoriasis is an inflammatory disease that manifests most commonly as well-circumscribed, erythematous papules and plaques covered with silvery scales. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. Background Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. These cysts are congenital, meaning they’re present at birth. simple sacral dimple, and. May 6, 2021 at 5:44 AM. mbort True Blue. There is associated purulent and malodour discharge from these lesions in many patients, and it may be initially mistaken for an infective process [3]. I’ve noticed my baby has a Y shaped cleft on her bottom. 622 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9. Disclaimer: This health information is for educational purposes only. These larger procedures have favored the use of off-midline closures which. 39. 2-7. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. The diffuse surrounding enhancement (arrowhead) indicates superimposed infection. With a perineal fistula, the abnormal anal opening is located outside of the sphincter muscle complex, such that the fistula usually has very few voluntary sphincter muscle fibers surrounding it. The other synonyms of gluteal cleft are anal. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. gluteal cleft and buttock wounds and chose the primary etiology for each wound. Answer: Sacaral dimple. With thousands of award-winning articles and community groups, you can track your. Iliac crest. Dr. When severe, this can cause erosions (Fig. Treatment options are extensive but most often include incision and drainage with. Pilonidal Cyst. Branchial cleft cysts are small fluid-filled sacs that may look like lumps under your skin on the side of your neck. 5 cm; (3) located within the superior portion of the gluteal crease or above (greater than 2. and gluteal areas [1, 2]. 8. supplies: 1. Instruct the patient on careful wound care and sitz baths. 5 cm in diameter Concerning features: multiple dimples (look along. Course and Distribution: Inferior gluteal artery enters the gluteal region by passing through the greater sciatic foramen, below the piriformis, along with the inferior gluteal nerve. 71: Circumcision: Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. )Figure 2: Severe MASD/IAD: note the irregular borders and erosion resulting from contact with body fluids. The remaining 24% arose from the inferior gluteal artery as a separate branch. 061 became effective on October 1, 2023. Linear lesions in the intergluteal cleft are caused by moisture with or without a friction component and should be classified as intertriginous (between skin folds) dermatitis. The procedure consisted of excision of the sinus tracts andIt also extends from the iliac crest superiorly to the gluteal fold inferiorly. 53%) and the upper part of. ICD-9-CM 757. ICD-10-CM Diagnosis Code R19. A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. 8Acquired gluteal fibrosis (GF) is a clinical condition characterized by contracture of the gluteal muscles including, in varying degrees, the gluteus maximus, medius, and minimus 1-47. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. The area you are referring to is often called the gluteal cleft. Pain or tingling the legs or back; Curvature of the spine Q82. House and Senate committees are getting a clearer picture of the depth and breadth of former President Trump’s campaign to enlist the Justice Department in his effort to overturn the results of last year’s election. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. On exam, he had an 8 cm x 2. (71 g) 12 1967 6 oz. . Grade of recommendation: 1C. The gluteal cleft is the groove running between each buttock, from the base of the spine to the perineum, which is the area between the anus and genitals. Present On Admission. It consists of two semi-spherical buttocks (clunes) that are separated by the gluteal cleft. ” That’s because it’s the mildest form of cleft palate — a condition in which your baby’s palate (roof of their mouth) has a split or opening. 39. Bilateral gluteal tendinitis; Gluteal tendinitis of left hip; Left gluteal tendinitis; Tendinitis of bilateral gluteal tendons. Cleft lip, bilateral. 2 Although there are conflicting etiological theories, the current consensus holds that pilonidal disease is an acquired condition intimately related to the presence of hair in the gluteal cleft. The disorder causes the tendon tissue to break down or deteriorate. Hypothesis Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. Surgical management is potentially curative with limited efficacy data. A sacral dimple is diagnosed with a physical exam, usually during a baby's first exam. Usually with the size of this cyst it's probably the same cyst and I think that's probably what your physicians were thinking as well. This is the American ICD-10-CM version of Q36. He seems completely healthy otherwise. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. Most sacral dimples are harmless and don't need treatment. Normally, the thoracic spine, being one of the primary curves, exhibits a mild kyphosis (posterior curvature); the cervical and lumbar sections. The first is due to the buttocks getting the least amount of sun exposure. Any dimple lying superior to the gluteal cleft, outside the midline, and with a diameter greater than 5 mm commonly accompanies a spinal anomaly and warrants radiological investigation such as an MRI. Diaper Area, Buttocks, and Gluteal Cleft OVERVIEW The unique environment of the diaper area is predisposed to the friction of repeated movement, chafing, local heat, and maceration from retained moisture, all of which serve to provide an excellent environment for potential irritant, fungal, as well as bacterial complications. The neural tube is the structure in a developing embryo that eventually becomes the baby's brain, spinal cord and the tissues that enclose them. Of the 4 Hispanic whites, perianal nevi were detected in 50. The. Benign features: single midline dimple in sacrococcygeal region visible intact base <2. It's a type of neural tube defect. 6 days). 3 Loose hairs trapped in the. 19,068 satisfied customers. Gluteal implants are an effective and predictable way to remodel the buttocks. Butt psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks, gluteal cleft ("crack") anus, and pubic area. from publication: Importance of Physical Examination and Imaging in the Detection of Tethered Cord Syndrome | Tethered cord syndrome (TCS) is. 829A - other international versions of ICD-10 S31. Muscular branches to gluteus maximus and to all the muscles deep to it below the piriformis. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. Should I be worried?Furthermore, when had a bifurcated gluteal cleft. 8 - other international versions of ICD-10 Q82. 5 × 1. Methods: Retrospective review of outcomes of 590 consecutive surgically treated patients. Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. 3 years ago • 5 Replies. Messages 1,130 Location Hibbing, MN Best answers 0. Gluteal cleft. (in male individuals), and posteriorly by the superior end of the intergluteal cleft; Vessels, nerves, and lymphatics of the pelvis. Definition. Should I be worried?The neural tube is formed by the lengthwise closure of the neural plate, in the dorsum of the embryo. The stem describes a skin injury that is sometimes referred to as a kissing injury that presents as mirror image skin damage, often in a linear pattern, on touching tissues such as in the gluteal cleft or skin folds. The 2024 edition of ICD-10-CM T86. The condition, which has an annual. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. 0 may differ. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. 3 Loose hairs trapped in the natal cleft traumatize and penetrate the skin, creating a foreign body reaction that may ultimately lead to formation of midline pits and, in some cases, secondary infection. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. Seizures. Congenital branchial cleft anomaly. which originates from the bifurcation of the common iliac artery. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Sagittal STIR (a) and contrast-enhanced T1-weighted fat-suppressed (b) images show a focal region of STIR hyperintensity along the superior gluteal cleft, in the subcutaneous fat, and overlying the coccyx (arrow), consistent with a pilonidal cyst. mbort True Blue.