The present invention discloses an ankle and foot immobilizer has a base, a spine perpendicular to the base, and a shoulder perpendicular to both the base and spine. A foot cover is rotatably attached to the shoulder and engageable to the foot so that the sole is either resting upon the base to obtain a top view of the foot or so that the sole is resting against the spine to obtain a side-view of the foot. A vertical leg support that is releasably attached to the spine is provided to secure the leg in a vertical fashion. A horizontal leg support that is releasably attached to the spine is provided to secure the leg in a horizontal fashion. The base can have a cassette holder to so that a separate cassette holder is not required. The immobilizer has an anchor that can be releasably secured to a standard x-ray table such as a suction cup.