Fig. 4

A one-day-old male neonate presented with cystic back swelling, paraplegia and patulous anus. a Transverse 2D ultrasound scans demonstrated spinous process bony defect of L5 level with CSF and nerve roots passes through out (black arrows). b Longitudinal 2D ultrasound scan demonstrated tethered cord (curved arrow). c Sagittal T2W1 showed tethered cord with lumbar myelomeningocele (neural placode is not in flush with the skin, white arrow). Final diagnosis is myelomeningocele, agreement frequency between ultrasound and MRI findings = 100%