Pelvic radiograph in third trimester
Motor vehicle accident. Left pelvis pain.
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Fetus noted with head in pelvic brim (?engaged). Apparent widening of the pubis symphysis most likely relates to ligamentous laxity of pregnancy. No fractures identified.
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The decision to perform the x-ray was made hoping it would be normal and thus make a CT unnecessary. Treating pregnant patients is always challenging as high radiation studies should be avoided if possible.