Spina bifida refers to a congenital neural tube defect resulting in defective closure of bony plate forming vertebral column [1]. The abnormality ranges from mildest form of spina bifida occulta/ closed spinal dysraphism to open spinal dysraphism with meningocele /meningomyelocele and other complications [2]. It usually involves the lower spine and is second most common congenital abnormality, first being congenital heart defects [3,4]. This pathology has wide range of clinical manifestation going entirely unnoticed or incidentally coming to light on clinical examination to an extent that causes life deteriorating issues [5]. The pediatric clinicians commonly advise lumbosacral spine x-rays to patients presenting with nocturnal enuresis. The objective of this study is to analyze the findings on lumbosacral spine radiographs and MRI performed for suspicion of spina bifida occulta.