Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a large complex hiatal hernia containing loops of bowel with what is thought to be prominent air - filled loops of colon . There is stable mild cardiomegaly . Old healed right lateral rib fractures are again seen . No acute rib fractures are identified . No focal consolidations concerning for infection is identified . No large pleural effusion is seen . There is no pneumothorax .
    OUTPUT:
    
No acute rib fractures identified .