I cannot determine whether you need ACL reconstruction from this photograph of an MRI film. The images are not clear enough for a reliable reading, and the key decision also depends on the written MRI report and a hands-on knee-stability examination, especially Lachman and pivot-shift tests.

ACL reconstruction is more commonly appropriate if you have:

You may be able to avoid surgery if this is a partial tear, your knee is stable after rehabilitation, you do not do pivoting/cutting sports, and your work/lifestyle is lower demand. AAOS notes that non-operative care can be reasonable in those situations, while combined injuries and functional instability favor reconstruction. AAOS patient guidance

If you do have an acute complete tear and choose surgery, current AAOS guidance favors not delaying unnecessarily, because ongoing instability and delay can increase meniscal and cartilage injury risk. AAOS ACL guideline update

Next step: share the written MRI report, especially the “Impression” section, and tell me:

Then I can help interpret whether reconstruction is likely to be recommended. Please see a sports-knee orthopaedic surgeon with the actual MRI files, not only the film photo.