Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . A large hiatal hernia is re - demonstrated . The mediastinal and hilar contours are unchanged . Pulmonary vasculature is normal . Apart from atelectasis in the lung bases , the lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Elevation of the right hemidiaphragm is . Multiple left - sided rib fractures are again noted posteriorly . No acute osseous abnormality is seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Large hiatal hernia and chronic right hemidiaphragmatic elevation .