Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . There is a large hiatal hernia with intrathoracic stomach projecting over the left lower hemi thorax . Compressive atelectasis in the left lower lung noted . Right lung is clear . Heart size can not be assessed . Mediastinal contour appears normal . Increased sclerosis and degenerative disease the left glenohumeral joint noted .
    OUTPUT:
    
Large hiatal hernia with intrathoracic stomach again noted .