Female, 6 months old, with abnormal midline tuft of hair and high gluteal cleft. Evaluate for tethered cord. Five lumbar type vertebral bodies are identified. These appear to be normally formed with no segmentation anomalies identified. Marrow signal characteristics are within normal limits. Alignment is anatomic.The visualized distal spinal cord and conus are within normal limits. The conus tip terminates at the L1-2 level which is normal. The nerve roots of the cauda equina disperse evenly through the thecal sac. No intraspinal mass or evidence of fatty filum terminale is seen. On prone imaging, there is clear anterior motion of the conus and cauda equina.No paraspinal abnormalities are seen. In particular, no evidence of any gluteal region subcutaneous sinus tract is identified.
Unremarkable examination with no evidence of tethered cord.