11-week-old female with associated anorectal malformation. Evaluate for tethered cord. Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. Lumbar spine:Most inferior well-defined disc is L5-S1. Five lumbar type vertebral bodies are present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L1-2 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L5-S1 there is no significant compromise to spinal canal or neural foramina.The conus medullaris terminates at the lower L2 level and within normal limits. There is no evidence of a tethered cord. No masses involving the filum or cauda equina nerve roots. Posterior elements are intact. Prone images are motion degraded but demonstrate some anterior motion of the conus and cauda equina nerve roots.
Conus medullaris terminates at the lower L2 level which is at the lower limits of normal. No evidence of tethered cord. No masses involving the filum or cauda equina nerve roots. 