📄 Normal
TECHNIQUE / POSITIONING
1📄 AP, lateral and mortise views of the ankle obtained
2📄 Adequate positioning with ankle in neutral alignment
3📄 Suboptimal positioning / rotation
BONY ALIGNMENT
4📄 Normal tibiotalar alignment
5📄 Medial / lateral talar tilt
6📄 Ankle joint subluxation / dislocation
DISTAL TIBIA
7📄 Distal tibial epiphysis appropriate for age
8📄 Metaphyseal irregularity / fracture
9📄 Physeal injury (Salter–Harris)
DISTAL FIBULA
10📄 Distal fibular epiphysis normal for age
11📄 Distal fibular fracture
12📄 Physeal injury involving fibula
TALUS
13📄 Talus shows normal contour and density
14📄 Talar dome irregularity / osteochondral defect
15📄 Talar fracture
ANKLE JOINT SPACE
16📄 Ankle joint space preserved
17📄 Joint space narrowing
18📄 Joint effusion suspected
GROWTH PLATES (PHYSIS)
19📄 Physes normal in width and contour
20📄 Widened / irregular physes
21📄 Physeal injury (Salter–Harris)
SOFT TISSUES
22📄 No abnormal soft tissue swelling
23📄 Soft tissue swelling
24📄 Soft tissue calcification / foreign body
IMPRESSION
25📄 No radiographic abnormality detected
26📄 Ankle fracture / physeal injury identified
27📄 Findings suggestive of ligamentous injury—clinical correlation advised
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