4-year-old female patient with constipation and abdominal pain. Question of spina bifida. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is within normal limits. The conus medullaris is normal in position terminating at the level of L1-L2. There is expected dependent movement of the cord and cauda equina with prone positioning. No evidence of a posterior element spinal defect. There is no abnormal enhancement.The right kidney is not visualized. The bladder is distended. A small amount of free fluid is noted in the pelvis.
1. No specific evidence of spina bifida or tethered cord.2. Absent right kidney.