Clojure has cons, car, cdr which you can use in the classic Lisp sense. The only thing you CAN'T do is have a dotted pair or dotted list in the last cons cell.
One might argue that you cannot surgically alter data structures in Clojure. But you can! It's just that the function doing the alteration returns an entirely new data structure with the alteration in place -- but without the expected inefficiency of a copy operation. If you have an array of a billion elements, and alter one of the elements, you get back a new array with the alteration. But it is not a COPY of the entire array (with the expected time required to copy). The original array without the alteration also still exists -- but you don't have twice the memory usage now that there seem to be two slightly different arrays with these billion elements. Yet accessing or altering any element in the array has close to the performance you would expect of an actual array implementation.