Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared to prior , there has been no significant interval change . The lungs are clear without consolidation , effusion , or pneumothorax . There is a moderate hiatal hernia again noted . Tortuosity of the thoracic aorta seen with atherosclerotic calcifications . The cardiac silhouette is not enlarged . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate hiatal hernia .