55 year old male presents to ED with history of fall on right shoulder when his bike slipped on the freeway. He is concious and oriented, but complains of severe pain on right chest dorsally and shoulder region. His vitals are stable, and chest examination has normal findings, except for minor bruises near shoulder and back. The ED physician orders a CXR (AP/Lat) as the patient was in severe pain, and insisted on getting an X ray done. The X ray films are as below. What would be the diagnosis and management in the ED?
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