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SUMMARY The interpretation of the neonatal skull often presents considerable difficulties to the general radiologist. Two requirements are essential; firstly, satisfactory films and secondly, a knowledge of the variability of normal. Until this is appreciated the differentiation of normal fissures from fractures, and a critical appraisal of sutures is not possible. The common variabilities seen in the newborn skull are demonstrated.

Summary A typical case of the Ellis‐van Creveld syndrome is reported, presenting all the classical features of the syndrome. Notably, there is widespread involvement of the ectoderm and mesoderm manifesting as dwarfism, deficiencies in hair and teeth, together with Polydactyly of the hands, and fusions and deformities in many bones. The recognition of this syndrome is important as it is commonly mistaken for other forms of dwarfism, particularly achondroplasia.