Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear unchanged . There is a moderate - to - large hiatal hernia with an air - fluid level , as before . The chest is hyperinflated . There is no pleural effusion or pneumothorax . Streaky left basilar opacity is unchanged and suggests atelectasis in associated with the hiatal hernia .
    OUTPUT:
    
No evidence for acute disease .