 So, doctor you already touched upon this that you know it can be diagnosed while in the womb itself. So, how is that and how are these things are these fine related problems in newborn kids diagnosed and what are the different issues that there can be. So interestingly when we when a when the mother undergoes an ultrasound scan when in the antinatal period while in the womb a lot of spinal problems can be identified there are certain unfortunate conditions where the entire spine is not formed and parts of the brain are also not formed such fetuses such fetuses are not compatible with life and many of them are still born. There are some others who are born at birth they will have a spine which is open to the external environment which may need to be addressed early. So, an ultrasound scan is the only say it is the very safe way of diagnosing a spinal problem in the intrauterine stage. Once the child is out of the womb and into the external world then we can do MRI scans CT scans and other investigations x-rays simple x-rays can also help in diagnosing spinal malformations spinal deformities.