Neuroblastoma is a common tumor of childhood, usually occurring in chi
ldren under 4 years of age [1]. We report a case of a 10-year old chil
d who initially presented with a large calvarial mass representing a s
olitary site of metastasis from an occult adrenal neuroblastoma. The '
'sunburst'' pattern of the calvarial metastasis noted in this case is
rarely seen with neuroblastoma. The age of our patient, solitary focus
of metastasis at presentation, and imaging appearance of the tumor ar
e very uncommon findings of neuroblastoma.