Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mild to moderately enlarged . The aorta is tortuous . Moderate size hiatal hernia is again noted . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Scarring from prior wedge resection is noted within the right mid lung field . No focal consolidation , pleural effusion or pneumothorax is present . Remote right - sided rib fractures are again noted . Multiple loose bodies are seen about the left glenohumeral joint which demonstrates extensive degenerative changes .
    OUTPUT:
    
No focal consolidation to suggest pneumonia . Moderate size hiatal hernia .