Objective To investigate the use of ultrasound to diagnose fetal intraspinal cyst in thethird trimester. Method A retrospective analysis of two cases of intraspinal cysts was performed. Theimaging characteristics of the two cysts were discussed. Result Both cases were of single lance-shaped intraspinal cysts, which were positioned around the terminal conus medullaris along the spinal cord at the side of the dorsal part, mimicking the cord. Conclusion Prenatal evaluation of the spinal cord is helpful in detecting intraspinal cysts.