Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were performed . There is a right upper extremity PICC which terminates in the distal SVC . There is no pleural effusion , pneumothorax or focal airspace consolidation . A large hiatal hernia is again seen and while it appears larger than in ___ , it is unchanged from the recent CT . The cardiac silhouette is normal and the mediastinal contours are unremarkable . The pulmonary vascularity is normal . There is a mild dextroconvex scoliosis of the thoracic spine which is unchanged . Additionally , there is a senile kyphosis present without a discrete compression fracture .
    OUTPUT:
    
No acute cardiopulmonary process , however , in some cases the presence of a large hiatal hernia may result in chest pain .