Clinical question: 13-year-old male with chronic constipation, rule out tethered cord. Signs and symptoms: Long-standing constipation. Nonenhanced lumbar MRI:There is normal anatomical development of the visualized lumbosacral spine.There is normal signal intensity and anatomical alignment of vertebral column.There is normal termination of the cord at mid L1 level. There is normal signal intensity and morphology of cauda equina. There is no detectable fatty filum terminale.There is a tiny central linear T2 signal intensity in the lower most visualized thoracic cord likely representing central canal and of questionable clinical significance.There is anterior movement of the lower most visualized thoracic cord, conus and cauda equina on prone sagittal T2-weighted images. There is no detectable. Spinal soft tissue abnormalities.Expanded colon with low T2 signal intensity consistent with contrast within the bowel likely residual from prior GI study dated 5/26/2015.
1.Unremarkable lumbar MRI and in particular without evidence of tethered cord.2.Dilated colon with low T2 signal intensity content consistent with residual contrast from recent GI exam from 5-20 6-50.