Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged with a small to moderate size hiatal hernia again noted . Pulmonary vasculature is not engorged . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Bridging anterior osteophytes are noted within the thoracic spine compatible with DISH .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Small to moderate size hiatal hernia .