Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette is demonstrated . There is at least a moderate to large hiatal hernia noted . Diffuse atherosclerotic calcifications are noted within a mildly tortuous thoracic aorta . Mediastinal and hilar contours are otherwise unremarkable . There is mild pulmonary vascular congestion without frank pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is present . Any electronic device projects over the left lung base . Remote appearing right - sided rib fractures are noted . Clips in the right upper quadrant of the abdomen likely indicate prior cholecystectomy .
    OUTPUT:
    
Mild pulmonary vascular congestion without frank pulmonary edema . Moderate to large hiatal hernia .