Newborn with a bump on the back that is not covered by skin

MRI of meningocele
Sagittal (above left) and axial (above right) T1 MRI without contrast of the spine shows a posterior defect at the S2 level that allows the spinal canal to communicate with a cyst that is not covered by skin or subcutaneous fat. Sagittal (below left) and axial (below right) T2 MRI shows the cyst does not contain any neural tissue.

The diagnosis was meningocele.