Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . Again noted is the large hiatal hernia containing stomach and bowel , better seen on CTA chest of ___ . Thoracic kyphosis is markedly exaggerated . However , there is no focal consolidation , pleural effusion , or pneumothorax .
    OUTPUT:
    
Large hiatal hernia , better characterized on prior CTA chest . No pneumonia .