Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large hiatal hernia is again seen , with adjacent atelectasis . No focal consolidation to suggest pneumonia is seen . No pleural effusion or pneumothorax is seen . The aorta is calcified . The cardiac silhouette is top - normal in size .
    OUTPUT:
    
Large hiatal hernia with adjacent atelectasis . No focal consolidation to suggest pneumonia .