<s>[INST] Hello doctor,MRI scan on right ankle following a climbing fall of 3.5 m and hitting the ground, inversion rolling on impact. This was a year back ongoing pain and issues. The pain is around ATFL and joint and occasional swelling after heavy activity. I am a rock climber and train in the gym. I work part-time personal trainer so spend a lot of time on my feet, and also studying physio. The report and scan are attached, would like a second opinion as the scan is slightly subjective. I work in the sport and rehab industry. Please see scan images to see any issues, impressions are high grade 2 sprain of ATFL and CFL large tibiotalar joint effusion lateral malleolus trabecular fractures. I would like a new report, please. I need a second opinion 20 years old, 158 cm tall, 52 kg. Currently, I am taking Fluoxetine 20 mg daily for anxiety and depression. [/INST] Hi. The MRI scan images (attachment removed to protect patient identity) of your right ankle confirm the following findings: For more information consult a radiodiagnosis physician online --> </s>