The metopic suture is the only suture which normally closes during infancy. Upon closure, a palpable and visible ridge often forms which can be confused with metopic craniosynostosis. Benign Metopic ridging may be treated nonsurgically while metopic craniosynostosis is treated surgically. Differentiating between the two is important; however, the jury is still out about where a clear diagnostic threshold lies. Physical examination and CT scan characteristics may help to differentiate between physiological closure of the metopic suture with ridging and Metopic Craniosynostosis.