Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single upright AP image of the chest . The lungs are well expanded there is a retrocardiac opacity with an air - fluid level consistent with a hiatal hernia . No focal mass or consolidation is seen in the lungs . There is no right pleural effusion there is a small left pleural effusion . No pneumothorax is seen . The cardiomediastinal silhouette is unremarkable . There is a fracture of the distal right clavicle which is widely separated , with 2 .1 cm inferior distraction of the distal fracture fragment . The glenohumeral joint is still congruent .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Widely separated acute fracture of the distal right clavicle . 3 . Hiatal hernia .