These cases are intended to be used as education materials. There are intentionally no answers. The objective is to provide teaching and test cases where the radiographers cannot "look up the answers on the Internet ". This case can be answered at different levels from student radiographer to advanced radiographer practitioner or reporting radiographer.

This case is not easy- suitable case for experienced MSK/trauma radiographers

This 38 year old lady has presented to the Emergency Department. She has been referred for ankle radiography with the following clinical information

"-twisted left ankle then fell landing on left sided buttock -UTWB -Tender left ankle lateral + pelvis (posterior)"

	What position is this? Is there evidence of injury?

	What position is this? Is there evidence of injury?

	Is there any evidence of fractures? Comment on any soft tissue signs, artifacts and normal variants