Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . A moderate size hiatal hernia is again noted . Mediastinal and hilar contours are unremarkable otherwise . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is noted . Mild paraseptal emphysematous changes are better demonstrated on the previous CT . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Moderate size hiatal hernia .