Create some sample data:
IF OBJECT_ID('tempdb..#SampleData') IS NOT NULL
DROP TABLE #SampleData
CREATE TABLE #SampleData (
[ID] INT IDENTITY(1,1) NOT NULL,
[strVal] NVARCHAR(50) NULL,
PRIMARY KEY (ID))
INSERT INTO #SampleData
VALUES
('123453ME'),('124344'),('323390'),('32339826455MS'),
('345678'),('39WA'),('986545'),('1234AK'),
('345XX8'),('398644GA'),('F986545'),('98234AZ')
Now query the data and strip off the unwanted suffixes
as well as eliminating any entries with an embedded alpha char.
SELECT
r.strVal
FROM
(
SELECT
(CASE
WHEN PATINDEX('%[A-Za-z]%',RIGHT(strVal,2)) > 0
THEN REPLACE(strVal,RIGHT(strVal,2),'')
ELSE strVal
END) AS strVal
FROM
#SampleData AS sd
) r
WHERE
PATINDEX('%[A-Za-z]%',strVal) = 0