Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest CT from one day prior as well as a chest x-ray from one day prior , there are no significant change . The lungs are clear without consolidation or edema . No pleural effusion or pneumothorax . Large complex left - sided diaphragmatic hernia with small bowel contents is unchanged . Cardiomediastinal silhouette normal . Rib fractures are better visualized on the CT from one day prior .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .