Clinical question: Rule out tethered cord. Signs and symptoms: Constipation. Nonenhanced lumbar MRI:There is normal anatomical development of lumbosacral spine and the normal anatomical alignment.No evidence of spinal stenosis or neural foraminal compromise at any level. There is normal signal intensity and caliber of the lowest most visualized thoracic cord and, conus and the cauda equina. There is normal anatomical termination of the cord at L1-L2 level.There is normal anterior movement of the lower cord, conus and proximal cauda equina on prone sagittal T2-weighted series.Perispinal soft tissues are unremarkable. The bladder is full and expanded and with evidence of mild generalized thickening of the bladder wall.
1.Unremarkable nonenhanced lumbar MRI and in particular no evidence of tethered cord.2.Bladder is full and expanded and demonstrate mild diffuse wall thickening.