Abnormal HEENT Assessment

[byrd262, BSN, RN]

I volunteer at a local clinic that is manged by NPs. It allows me to practice taking vitals and assessments before the NP comes in to examine the patient. The oddest thing occured. I was assessing a patient and there were indentations in her skull. I was palpating her scalp and felt a few dents. One was about 5 cm in length and 1 cm wide. It was deep too. There were 2 other dents that I felt. I asked her if she knew about them and if she was born with them. She said that she wasn't born with them, but noticed them about 3 months ago when washing her hair. She is 24 years old and has never been involved in a trauma of any kind.

I reported it to the NP who didn't know what it was, but referred the patient. Has anyone seen/felt that before? I've seen men with shaved heads before that have abnormalities. But this was so much different. I couldn't see it because she had a lot of hair but it felt like a newborn's fontanels (but longer). This is still bothering me. Any ideas?