For the lateral view, the patient should lie with the lateral (outer) side of the ankle against the X-ray table, with the leg slightly bent at the knee.

Both views provide complementary information. The AP view shows the ankle from the front, while the lateral view offers a side perspective, allowing for a more comprehensive evaluation of bone structure and joint alignment.

The ankle lateral X-ray view captures a side profile of the ankle joint, offering a different perspective to identify fractures, dislocations, and soft tissue conditions.

While X-rays are primarily used to view bone structures, they can sometimes indicate soft tissue issues, such as swelling, joint effusion, or the presence of foreign bodies, although MRI or ultrasound is more effective for soft tissue evaluation.