Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is no focal consolidation or pneumothorax . A left pleural effusion is minimal , if any . There is mild pulmonary vascular congestion without overt pulmonary edema . Heart size is normal . The mediastinal silhouette is stable with a large hiatal hernia , slightly larger than in ___ . A rounded density projecting over the right lower chest on the frontal view is unchanged from ___ , likely reflecting calcification of the costochondral cartilage . Severe degenerative change with on bone - on - bone articulation is seen at the right shoulder girdle , incompletely evaluated on this study .
    OUTPUT:
    
1 . No pneumonia . Mild pulmonary vascular congestion . 2 . Large hiatal hernia , increased from ___ .