Contributors: Kumar Patel, PA-C and Gregory W. Albert Posterior cranial vault remodeling post shunt induced Crainiocerebral Disporpotion (CCD)  Patient is a 5 y/o boy having frequent headaches which may be indicative of increased intra-cranial pressure in addition to a step-off deformity of his posterior calvarium. DOI#: http://dx.doi.org/10.17797/d03zxkvg2h