Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The heart is of normal size with normal cardiomediastinal contours . A moderate - sized hiatal hernia contains an air - fluid level . Lungs are hyperinflated . Lungs are otherwise clear without focal consolidation . No pleural effusion or pneumothorax . Numerous chronic appearing right rib fractures are again seen . Thoracolumbar spine fusion construct with vertical fusion rods and pedicle screws appears similar in position to prior without evidence of hardware complication . Compression deformities of the thoracolumbar junction are similar to the prior exam .
    OUTPUT:
    
No acute cardiopulmonary process .