Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited due to patient rotation and low lung volumes . The cardiac silhouette size is difficult to assess . Large hiatal hernia is again noted . Mediastinal contours are otherwise unchanged . Pulmonary vasculature is not engorged . Chronic atelectasis of the right lower lobe is re - demonstrated . Streaky opacity in the left lung base likely reflects atelectasis . No new focal consolidation , pleural effusion or pneumothorax is clearly evident . Multiple clips are noted within the right upper quadrant of the abdomen .
    OUTPUT:
    
Bibasilar atelectasis . Large hiatal hernia .