Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is significantly rotated , limiting assessment of the mediastinum . Given this limitation , the cardiomediastinal and hilar contours appear stable . The heart size is mildly enlarged . The aorta is tortuous . There is no pneumothorax or large pleural effusion . The lungs are well expanded . There is no focal consolidation concerning for pneumonia . A hiatal hernia is again noted .
    OUTPUT:
    
No focal consolidation concerning for pneumonia . Please note that cross-sectional imaging would be more sensitive for the detection of malignancy .