3-year-old with lower back and bilateral thigh pain, evaluate for tethered cord Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position at the upper L1 level. Prone images demonstrate appropriate ventral motion of the conus and cauda equina nerve roots. There is no significant spinal canal or neural foraminal stenosis at any level in the lumbar spine. No evidence of lipoma or other masses involving the filum terminale or cauda equina nerve roots. Paraspinous soft tissues are unremarkable. Distended urinary bladder noted.
1. MRI of the lumbar spine is within normal limits. No evidence of tethered cord.2. Distended urinary bladder is noted, which is nonspecific, and can be correlated with post voiding ultrasound if there is clinical suspicion for urinary retention.