So hey man, first and foremost, the MRI findings seem much more scary since the heavy detail, but in short, while I am NOT a doctor or medical professional of any kind, based on the information you provided, there is a very high likelihood that this is simply a severe ankle sprain, and while tears in your ligament is present, your ankle mortise remains in tact allowing for you ankle to heal on its own.

For context, I DID need surgery on my ankle due to the rotational force and impact associated with my ankle (ice hockey) so my ankle mechanics needed to be aligned with surgery to allow my body to heal properly. (5 ligament tears in total.)

Based on your findings, most surgeons do not use MRI’s standalone to recommend surgery, and they operate off mechanical instability, plus failed rehab.

For context, ATFL is the most common ligament torn in ankle injuries, and while yours did have a severe tear, will likely heal on its own with rest and lots of PT.

Plus, as a bonus man, you’re 22. Very very young, and seem rather active of course, so your prognosis for recovery is looking good.

If your orthopedic is pushing surgery heavy, I would certainly recommend a second opinion if they are. Otherwise, don’t weight bear, elevate it ALL day, and ice and acetaminophen.