• A myelo-meningocele is present at the level of L5 and upper sacrum. There is a low lying spinal cord. Tip of the conus extends into the myelomeningocele. There is bilateral neural foraminal deformity present at L5-S1 which could cause some impingement of the L5 nerve roots.
• A mild foraminal deformity of the left side at L4-L5 is also noted. The left pars interarticularis of L5 shows a chronic defect. On the right side, the pars interarticularis of L5 is elongated but appears intact. There is no oedema noted in the fragmented pars of L5 on the left indicating that it is a chronic abnormality. No focal spinal canal stenosis is seen.
• Conclusions: Myelomeningocele as described with features of spinal dysraphism. There is L5 neural foraminal deformity present particularly on the left side with a chronic pars fracture of L5.