23-year-old Man Involved in a Motor Vehicle Accident

X-Ray of a 23-year-old man involved in a motor vehicle accident
X-Ray of a 23-year-old man involved in a motor vehicle accident

A 23-year-old man who had been a passenger in a minivan was brought to the emergency department after a high-speed road-traffic accident. He had transient hypotension and tachycardia, which improved after the administration of intravenous fluids.

What is the diagnosis ?