Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph shows obscuration of the cardiac contour by the patient 's large hiatal hernia ; however , on the current exam , it appears that only is the stomach above the hemidiaphragm , but it appears that the splenic flexure has herniated as well . There is slight blunting of the left costophrenic angle which is new from study from ___ . Central pulmonary vasculature is not congested and no pneumonia is seen .
    OUTPUT:
    
Herniation of splenic flexure into hiatal hernia sac . the blunting of left costophrenic angle may be related to this and lateral view is recommended . Findings called to Dr . ___ at the time of dictation at 9 :09 a .m . on ___ . Different ( female ) resident caring for patient called back and info was conveyed via phone .