Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac cardiac silhouette is mild to moderately enlarged . The aorta is calcified and tortuous . There is a large hiatal hernia with large air - fluid level seen .
    OUTPUT:
    
Large hiatal hernia . Cardiomegaly without pulmonary edema . No focal consolidation .