5-month-old female with a history of VACTERL syndrome (cloaca, multicystic dysplastic right kidney, low lying left kidney, and tethered spinal cord on MRI, left thumb hypoplasia, esophageal atresia s/p TEF repair, (PFO/PDA) with tethered cord release 8/22. What is anatomy of anorectal malformation?EXAMINATION: MR pelvis without and with intravenous contrast material 08/23/16 Each slip of the levator ani measures less than 2 mm in thickness.A tubular duplication to the left of the rectum contains air and measures approximately 1.4 cm in length. The prepubertal uterus and cervix are normal in appearance. The bladder is normal in appearance. The vagina and urethra appear to converge close to the peritoneal surface. It is difficult to identify where the rectum joins the common channel.The ovaries are normal in appearance.The lower pole of the left kidney is normal in appearance. The right kidney is composed of cysts.Changes from the recent spinal cord detethering are noted.
Levator ani musculature is diminutive. Probable short common channel of the cloacal malformation. Tubular rectal duplication cyst.