The 23-year-old left-handed opener had to retire hurt after he was struck a painful blow on the elbow by England fast bowler Mark Wood.
The incident took place in the fourth over of the penultimate match of the five-game one-day international series at Trent Bridge, when Imam missed an intended pull off an 89 mile-per-hour (143 kilometres-per-hour) delivery from the Durham paceman.
Imam, fresh from his career-best 151 in the third ODI at Bristol on Tuesday, fell to the ground and winced on the turf in agony.
The nephew of Pakistan great and selection chief, Inzamam-ul-Haq received several minutes´ treatment before retiring hurt on three not out, with the tourists then nine without loss.
A statement issued by Pakistan management said Imam had been taken to hospital for a precautionary X-ray, with a further update on his condition expected later Friday.
World Cup hosts and tournament favourites England lead the five-match series 2-0.
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