Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest demonstrates normal heart size . The cardiomediastinal silhouette and hilar contours are normal . A large air-filled hiatal hernia with associated compressive atelectasis is increased in size . The lungs are otherwise clear . No pleural effusion or pneumothorax . No displaced rib fracture identified . An air filled loop of bowel or stomach is partially visualized in the left upper quadrant .
    OUTPUT:
    
1 . Increase in size of hiatal hernia and large air filled loop of bowel or stomach in the left upper quadrant could signify a gastrointestinal issue . Consider abdominal radiograph to further evaluate if symptoms warrent . 2 . Telephone notification to Dr ___ by Dr ___ at 8 AM on ___ .