Classical findings of a tethered cord with associated posterior spinal defect and lipomyelocele.
Low lying tethered cord reaching L4-5 level. Neural elements are seen extruding through the spina bifida, however, the defect seems to be covered with skin.
T1 bright fat signal within the canal and communicating with the prominent subcutaneous fat via the sacral defect.
The wide-open sacral bony defect is clearly seen with the neural element extruding outside and the subcutaneous lipoma extending into the canal (lipomyocele). Intact skin covering is also evident.