Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Moderate to large hiatal hernia is seen . The lungs are clear without consolidation , effusion or pneumothorax . Cardiomediastinal silhouette is within normal limits . Midthoracic dextroscoliosis is noted . Osseous and soft tissue structures are otherwise unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate to large hiatal hernia .