Quiet, well developed, well nourished, active and alert. His anterior fontanelle is flat and soft. Pupils are equal and reactive to light. There are no bruises noted anywhere on the head or elsewhere on the body. Tympanic membranes appear normal.
Chest reveals no bony deformity, with good aeration bilaterally.
The abdomen is soft. Active bowel sounds are noted. No masses are evident, and no bruising is noted. Normal male external genitalia are noted. Except for an abnormal left lower extremity, other extremities appear normal.