Figure 3.60. Midline pilonidal dimples or sinuses are common deformities. They represent the point of attachment of the distal end of the neural tube to the coccyx. If there is a deep dimple, an MRI should be performed to exclude a neural tube defect. The MRI was normal in this infant.

Pilonidal DimpleTethered Neural Tube Syndrome Images

Figure 3.61. This infant had a midline small skin tag with depigmentation of the skin in the lumbosacral region. The MRI revealed a tethered cord.

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