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To determine the indications for routine cranial ultrasound in the nursery, we reviewed the scans of 813 inborn neonates. The neuropathology was separated into intracranial hemorrhage (ICH) or congenital structural anomalies (CSA), and the patients were grouped according to clinical status. We also evaluated a subset of 174 consecutive births of <2250 g BW to determine the indications for cranial ultrasound scanning based on specific BW. The results are listed below*. The 813 patients scanned were categorized using the first applicable diagnosis in the listing below and were listed only once:We conclude that routine cranial ultrasound is indicated for infants with BW<2kg, dysmorphology, Apgar scores<7, seizures, and macrocephaly, but not routinely for the term non-asphyxiated infant with jitteriness, abnormal neurological examination, Cephalohematoma, or split sutures.