A HEALTHY 2-week-old boy was seen for his initial well-child examination and was noted to have a 3 × 2-cm firm raised lesion over his occipital area. There was no history of trauma since his birth. The birth history consisted of an infant born at 39 weeks' gestation to a 27-year-old primigravida mother who was preeclamptic and had positive culture findings for group B streptococcus. The delivery was notable for shoulder distocia and nuchal cord. After delivery the infant had a bruised head and petechiae over his entire face. There was no swelling in the occipital area. The patient did well and was discharged home on day 2 of life without complications.