SUMMARY
AbstractLarge oval lucencies seen on the paediatric skull radiograph (SXR) may be normal or pathological. The radiologist, however, must be clear about which findings are pathological and the appropriate terminology when reporting on a paediatric SXR. By noting the clinical setting, the age of the patient and associated skull abnormalities, the appropriate terms can be used so that normal convolutional markings can be distinguished from accentuated markings of copper (silver)-beaten skull in raised intracranial pressure (ICP) and the lacunae in patients with Lückenschadel accompanying spinal dysraphism.