Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no free intraperitoneal air . A hiatal hernia has increased in size compared with most recent study . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
1 . No free intraperitoneal air . 2 . No acute cardiopulmonary process . 3 . Large hiatal hernia .