Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . There is a moderate hiatal hernia . There is no pneumothorax . There is no pleural effusion . The cardiomediastinal silhouette is unremarkable . Chronic appearing deformity of the proximal left humerus suggests prior fracture . Left lateral ninth rib fractures seen .
    OUTPUT:
    
Left lateral ninth rib fracture which may be acute , clinically correlate regarding site of pain . No acute cardiopulmonary process . Moderate hiatal hernia .