located at the lower back MRI result Impression: Findings consistent with sacral lipomyelocele, demonstrating cord thetering against the intraspinal component of a dorsal sacral fatty accumulation. The spinal cord is noted to be low lying in position, terminating at the mid sacral region. The nuetral placode is noted to be tethered to the intraspinal component. prominent dorsal sacral fat. The skin overlying the dorsal sacral fatty accumulation is intact.