Newborn with an imperforate anus

Radiograph of VACTERL association with vertebral body anomalies
AP radiograph of the spine (left) shows multiple segmentation anomalies in the sacrum. Sagittal US of the left kidney (above right) is unremarkable while sagittal US of the right renal fossa (below right) shows a prominent right adrenal gland and absence of the right kidney.

The diagnosis was VACTERL association with vertebral body anomalies and agenesis of the right kidney.