New Choke Photos

Fox Searchlight has released a few new photos from Clark Gregg's big screen adaptation of Chuck Palahniuk's Choke. I've seen the movie twice now, and I'm pretty sure the photo above comes from a scene which was not included in film festival cut of the movie. Clark Gregg filmed Palahniuk's original ending to the book, but the scene didn't play as expected, and it was cut from the final film. Could this mean that the original ending has been reinserted into the film? Or is the photo above from another moment in the film which I might be completely forgetting?