Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is somewhat rotated . Enlarged cardiomediastinal silhouette is stable . Large hiatal hernia is re - demonstrated . There may be minimal pulmonary vascular congestion . No definite focal consolidation is seen . No large pleural effusion is seen . There is no pneumothorax .
    OUTPUT:
    
Stable enlargement of the cardiomediastinal silhouette . Again seen large hiatal hernia . Possible minimal pulmonary vascular congestion .