You lie on the x-ray table or sit in a chair. Your head may be placed in different positions.

Tell your health care provider if you are pregnant or think you are pregnant. Remove all jewelry.

There is little or no discomfort during an x-ray. If there is a head injury, positioning the head may be uncomfortable. You may need to wear a lead cover over your thyroid gland (neck).

Your provider may order this x-ray if you have injured your skull. You may also have this x-ray if you have symptoms or signs of a structural problem inside the skull, such as a tumor or bleeding.

A skull x-ray is also used to evaluate an unusually shaped child's head.

Other conditions for which the test may be performed include:

• Teeth are not aligned properly (malocclusion of teeth)
• Infection of the mastoid bone (mastoiditis)
• Occupational hearing loss
• Middle ear infection (otitis media)
• Abnormal bone growth in the middle ear that causes hearing loss (otosclerosis)
• Pituitary tumor
• Sinus infection (sinusitis)

Sometimes skull x-rays are used to screen for foreign bodies that may interfere with other tests, such as an MRI scan.

A CT scan of the head is usually preferred to a skull x-ray to evaluate most head injuries or brain disorders. Skull x-rays are rarely used as the main test to diagnose such conditions.

Abnormal results may be due to:

• Fracture
• Tumor
• Breakdown (erosion) or calcium loss of the bone
• Movement of the soft tissues inside the skull

A skull x-ray may detect increased intracranial pressure and unusual skull structures that are present at birth (congenital).

There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits. Pregnant women and children are more sensitive to the risks associated with x-rays.

X-ray - head; X-ray - skull; Skull radiography; Head x-ray

Magee DJ, Manske RC. Head and face. In: Magee DJ, Manske RC, ed. Orthopedic Physical Assessment. 7th ed. St Louis, MO: Elsevier; 2021:chap 2.

Mettler FA. Head and soft tissues of face and neck. In: Mettler FA, ed. Essentials of Radiology. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 2.

Updated by: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School at Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.