Although most of the classic radiological findings in nonaccidental trauma have been described and documented for six decades or more, the diagnosis is not always easy. Some accidental and nonaccidental injuries can be differentiated only in the broad spectrum of context. Other nontraumatic skeletal lesions can closely resemble classic representations of physical abuse. Others may seem rather far-fetched as mimickers of abuse, but when seen as images of individual body parts and without the context of other findings, history, and circumstances, can be confusing. This is particularly true for the relatively untrained and inexperienced individual who first sees the child and has an obligatory legal duty to report suspicion of inflicted trauma.