Female, 4 years old, with stable urinary incontinence. Evaluate for tethered cord. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. There is a normal complement of lumbar vertebral bodies. No pathologic marrow replacement or marrow edema is seen.The distal spinal cord, conus and cauda equina are all within normal limits. The conus tip terminates at the L1 level which is normal. No evidence of a fatty filum terminale or other intraspinal fatty lesion is seen. On prone imaging, there is clear evidence of anterior displacement of the conus and cauda equina.The intervertebral discs are preserved. No significant compromise of the spinal canal or neural foramina is noted.
Unremarkable evaluation with no evidence of tethered cord.