Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large hiatal hernia . The lungs are clear without consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Resorption of the distal right clavicle may be posttraumatic or postsurgical in nature . No acute osseous abnormalities .
    OUTPUT:
    
Large hiatal hernia . No acute cardiopulmonary process .