Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . The aorta is tortuous . There is a hiatal hernia . The lungs are hyperinflated . The lungs are clear . There is no pneumothorax or pleural effusion . There are several right healed rib fractures .
    OUTPUT:
    
No acute cardiopulmonary abnormalities COPD Hiatal hernia .