Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . A large hiatal hernia is again noted with multiple clips seen in the gastroesophageal region . Mediastinal and hilar contours are otherwise unchanged . Pulmonary vasculature is normal . Minimal atelectasis is seen in the left lower lobe . No focal consolidation , pleural effusion or pneumothorax is visualized . No acute osseous abnormalities are present .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Large hiatal hernia .