Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and clear as in the past . A large hiatal hernia with intrathoracic stomach is larger today than when last imaged on conventional chest radiographs in ___ . The configuration of the stomach , suggests a potential for gastric torsion . Moderate cardiomegaly is is present , but change is difficult to assess due to displacement by the much larger intrathoracic stomach . There is no pulmonary or mediastinal vascular engorgement and no edema or appreciable pleural effusion . There is no pneumothorax . Spinal degenerative changes are mild and stable .
    OUTPUT:
    
Clear hyperinflated lungs . Cardiomegaly is mild to moderate . No other evidence of cardiac decompensation . Intrathoracic stomach via hiatus hernia , larger today than in ___ . The configuration suggests the potential for a gastric torsion .