Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size can not be evaluated its obscured by a large hiatal hernia . Bibasilar opacities are likely atelectasis . . The upper lungs are clear . There is no pneumothorax or pleural effusion . Right rib fractures are again noted . Of note there is a new fracture in the posterior right fifth rib
    OUTPUT:
    
No acute cardiopulmonary abnormalities Large hiatal hernia New right rib fracture