Craniosynostosis is a skull malformation where one or more bone plates have fused prematurely. It is easily confused with plagiocephaly due to deformational molding, which can occur when a baby sleeps in the same position repeatedly or due to torticollis. It is important to distinguish the diagnosis because it can cause brain growth problems and optimal treatment should occur before the age of one. Patients with craniosynostosis (CSS) managed at FCI are carefully screened using clinical exams and anthropometric measurements, under a comprehensive team approach. Rarely, skull x-rays or a CT scan is required. We believe in the “image gently” campaign and strive to minimize radiation to our patients.