There is a medial malleolar fracture with a subtle lateral talar shift widening the medial gutter. A comminuted lateral malleolar fracture also noted at the level of the tibiofibular syndesmosis consistent with Weber type B fracture. An additional fracture line passing in the coronal plane to the articular surface of the posterior tibial plafond consistent with a posterior malleolar fracture. Soft tissue swelling noted
Features are those of left ankle trimalleolar fracture