President Donald Trump’s swollen ankles made an appearance as he descended Air Force One after a trip across the pond.

The president arrived in the U.K. on Tuesday night with first lady Melania—and his cankles—in tow, marking his second state visit since June 2019.

After he cautiously walked down the stairs holding onto Melania with one hand and the railing with the other, Trump was welcomed by U.S. Ambassador to the U.K. Warren Stephens, British Foreign Secretary Yvette Cooper, and Viscount Henry Hood, who represented King Charles.

The 79-year-old president’s swollen ankles prompted an evaluation by the White House Medical Unit in July, according to Press Secretary Karoline Leavitt.

“In recent weeks, President Trump noted mild swelling in his lower legs,” Leavitt said at the time. “In

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