Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is within normal limits . A large hiatal hernia is noted . No acute fractures are seen . No free air under the right hemidiaphragm .
    OUTPUT:
    
1 . No acute intrathoracic process . 2 . Large hiatal hernia .