Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia . Linear areas of atelectasis are present in both mid lung regions , and atelectasis is also identified in the lower lungs adjacent to the large hiatal hernia . No areas of consolidation are evident . Small pleural effusions are present bilaterally . Bones are diffusely demineralized , and multilevel compression deformities are present , most marked at the thoracolumbar junction and upper lumbar region , with similar appearance in the thoracic spine to recent CT of ___ . The patient is status post vertebroplasty procedures in the upper lumbar spine .
    OUTPUT:
    
Large hiatal hernia . Multifocal atelectasis and small pleural effusions .