Place patient in the lateral recumbent position, affected side down; provide a pillow for patient’s head; flex knee of affected limb about 45°; place opposite leg behind injured limb to prevent over-rotation
perpendicular to IR,
directed to medial malleolus
Collimate to include distal tibia and fibula to midmetatarsal area
• Distal one-third of tibia and fibula with the distal fibula superimposed by the distal tibia, talus, and calcaneus appear in lateral profile.
• Tuberosity of fifth metatarsal, navicular, and cuboid also are visualized