Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post sternotomy and coronary artery bypass graft surgery . Surgical clips also project over the right axilla . The heart appears borderline in size . There is a large hiatal hernia with an air - fluid level and some distension . Streaky opacities in the left infrahilar region can probably be attributed to atelectasis in association with the hernia . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary disease . 2 . Large hiatal hernia including mild distention and an air - fluid level . Although this may be incidental to the clinical presentation , the possibility that this may relate to symptoms could be considered depending on clinical circumstances .