Change: the position, but did not achieve a true lateral position Soft Tissue SignsAnkle EffusionThis patient presented to the ED following fall. There is extensive soft tissue swelling. There is an ankle effusion with the anterior and posterior recesses visibly distended with fluid. Same image with   View changes from previous version. (Word count: 1839)

Change: in http://jama.ama-assn.org/cgi/reprint/271/11/827Positioning Tips for Lateral Ankle RadiographySlightly flex the patient's kneeDorsiflex the patient's ankleEmploy a horizontal ray technique if requiredInclude the head of fibula in the series if there is a possibility of Maisonneuve fractureInclude the base of 5th   View changes from previous version. (Word count: 1664)

Change: above (comment invited!).above.There appear to be three choices:Centre to the ankle joint and collimate to include the base of the 5th metatarsal and the corresponding amount of visualised distal tib/fib will be determined by defaultDon't centre the beam to the   View changes from previous version. (Word count: 1609)

Change: Don't centre the beam to the ankle joint- collimate to include the distal third of the tib/fib proximally and the base of the 5th metatarsal distally and the centre point will look after itself (undesirable)Centre to the ankle joint and collimate to   View changes from previous version. (Word count: 1586)

Change: The most commonly seen normal anatomical variant on lateral ankle images is the os trigonum. This should not be confused with a fracture of the posterior process of the talus.This patient has an unusually large posterior process of the talusLarge posterior process of the talus marked Os   View changes from previous version. (Word count: 1405)

Change: obnormal opacification of Kager's fatpad (grey arrow) Achille's Tendon Rupture This patient has a ruptured Achilles tendon (white arrow). Note the changes in Kager's Fat Pad (black arrow) Normal Kager's fat pad with clearly delineated normal Achilles tendon Complete disruption of the Achilles tendon   View changes from previous version. (Word count: 1317)

Change: The ankle is malpositioned. The fibula is sited in the middle of the tibia suggesting that the toes are raised too far off the IR.The ankle was repsoitioned without the toes raised off the IR to good effect. Positioning Tips for Lateral Ankle RadiographySlightly flex the patient's knee   View changes from previous version. (Word count: 1190)

Change: Ankle radiography is often inappropriately undertaken in patients who have sustained a soft tissue injury. The most effective method of avoiding referrals for inappropriate ankle   View changes from previous version. (Word count: 1136)

Change: diagnostic results.How Lateral is Lateral?The lateral radiography challenge is largely a matter of deciding how far to roll the patient's ankle or, more specifically, how much   View changes from previous version. (Word count: 1045)

Change: Soft tissue swelling over the lateral malleolus is relatively common because inversion injuries of the ankle are relatively common. An extreme amount of soft tissue   View changes from previous version. (Word count: 933)