Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left lung is reasonably well aerated . Right lung again demonstrates volume loss compatible with the previous imaging without new consolidation , pleural effusion or pneumothorax . The heart is mildly enlarged with tortuous thoracic aorta . Hiatal hernia is noted .
    OUTPUT:
    
No acute intrathoracic process with unchanged right - sided volume loss .