MRI of spine (focus on lumbar spine) with T1 weighted echo train
 spin echo, T2 weighted echo train spin echo with/without fat
 saturation, pulse-gated cine phase contrast flow images, and
 without intravenous gadolinium-enhancement:

1. Obvious short T1 fat signal along thick filum terminale with
   normal location of conus medullaris at the level of L1 (fig.1)
   and decreased spinal cord motion (peak velocity of spinal cord=
   0.57cm/sec, cerebrospinal fluid= 2.74cm/sec, background muscle=
   0.49 cm/sec respectively) (fig.2), suggesting fibrolipoma of
   the filum terminale with tethered cord.
2. Mild-moderate scoliosis along T-spine with multiple lateral
   hemivertebrae (fig3).
3. Mild distended bladder, significance unknown.
4. Non-visualization of the midline dimple in sacral region, which
   noted by bedside gross observation. No detectable tract of the
   dermal sinus from this examination.

Impression:
1. Fibrolipoma of the filum terminale with tethered cord.
2. Multiple hemivertebrae.
3. Recommendation 1: you may arrange bladder ultrasound to check
   pre- and post-voiding urine volume, if clinical suspicious
   neurogenic bladder.
4. Recommendation 2: Please arrange chest X-ray. Thank you!