Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . There is no focal consolidation , pleural effusion or pneumothorax . The aorta is tortuous . There is a hiatal hernia . Clips are present in the right upper quadrant . Imaged upper abdomen is otherwise unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process . Hiatal hernia .