Lateral radiograph of the skull obtained 3 years ago (above) shows the ventriculoperitoneal (VP) shunt tubing that courses inferiorly is connected appropriately to the radiolucent VP shunt reservoir. Lateral radiograph of the skull obtained today (below) shows interval development of increased distance between the VP shunt tubing that courses inferiorly and the radiolucent VP shunt reservoir due to interval development of a disconnection of the VP shunt tubing from the VP shunt reservoir.