Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is slightly limited by patient rotation . Cardiac silhouette size remains mildly enlarged . A moderate size hiatal hernia is again noted . The aorta remains tortuous . Hilar contours are grossly unremarkable . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is detected . The osseous structures are diffusely demineralized with mild loss of height of several mid and lower thoracic vertebral bodies , grossly unchanged from the prior exam .
    OUTPUT:
    
Slightly limited examination . No acute cardiopulmonary process . Moderate size hiatal hernia .