Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate - sized hiatus hernia . The cardiomediastinal silhouettes are stable . The bilateral hila are within normal limits . Lungs are clear without focal consolidation . The opacity projecting over the heart on prior lateral radiograph from ___ is no longer identified . There is no pulmonary vascular congestion . There is no pleural effusion or pneumothorax . Degenerative changes are noted at the shoulder and hypertrophic changes seen in the spine .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate - sized hiatus hernia .