Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear without focal consolidation , pleural effusion , or pneumothorax . A large hiatal hernia is again seen with mild adjacent atelectasis . Surgical clips project over the right upper abdomen . Degenerative changes of the thoracic spine are moderate .
    OUTPUT:
    
No focal consolidation concerning for pneumonia . Large hiatal hernia .