Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A large hiatal hernia , better seen in subsequent CT , has increased in size from prior exam . Bilateral small pleural effusions are seen with asscoaited atelectasis . Cardiomediastinal and hilar contours are unremarkable . There is no pneumothorax . No rib fracture is identified .
    OUTPUT:
    
1 . Large hiatal hernia . 2 . Bilateral small pleural effusions with associated bibasilar atelectasis .