AP radiograph of the lower extremities (image 1) shows rhizomelic shortening and metaphyseal flaring (arrows). AP radiograph of the pelvis (image 2) shows a horizontal acetabular roof, small iliac wings, short sacroiliac notches, and a narrow pelvic inlet. The constellation of findings is characteristic of achondroplasia. Achondroplasia is the most common skeletal dysplasia. It typically occurs due to a sporadic mutation. However, it is in an autosomal dominant trait. The shortened pedicles seen on the spine can cause spinal stenosis.