The X-ray most likely shows a displaced left subtrochanteric fracture of the femur. This is a fracture of the proximal femoral shaft just below the trochanters, with displacement/angulation of the fragments.

In a 70-year-old, this should be treated as an urgent orthopedic injury. The photographed film is limited, so a formal radiology report and full-length femur views are needed to assess comminution and to exclude an underlying pathological lesion. Standard treatment is commonly operative fixation, often with a cephalomedullary intramedullary nail, depending on the full imaging and patient status. Subtrochanteric fracture reference