Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of consolidation effusion , or pulmonary vascular congestion . Moderate hiatal hernia is again noted . The cardiomediastinal silhouette is otherwise unremarkable . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process . Moderate hiatal hernia again noted .