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There is spina bifida at the level of swelling (S3-S4 level). There is lipomatous tissue, covered with skin. Neural tissue of spinal cord exists through spina bifida and enters the lipomatous tissue. The spinal cord ends at S1-S2 level. There is no syrinx in visualized spinal cord.
With crying of the baby, the swelling shows outwards bulging while scanned.