Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are relatively low . There is no focal consolidation , effusion , or edema . Moderate sized hiatal hernia is again noted . The cardiomediastinal silhouette is otherwise unremarkable . Mid thoracic dextroscoliosis is noted . Degenerative changes partially visualized at the shoulders bilaterally . No acute osseous abnormality .
    OUTPUT:
    
Moderate hiatal hernia . No acute cardiopulmonary process .