Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . Left - sided Port - A - Cath tip terminates within the mid SVC . Moderate size hiatal hernia is re - demonstrated . There is also dilatation of the esophagus with an air - fluid level , similar compared to the prior exam . Chronic radiation changes are noted in the right apex . Linear opacities within the left lower lobe likely reflect atelectasis . No new areas of focal consolidation are present . There is no pleural effusion or pneumothorax . Pulmonary vasculature is normal . Known sclerotic metastases are better seen on the recent CT . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate size hiatal hernia with chronic dilatation of the esophagus containing an air - fluid level . Mild atelectasis in the left lower lobe and chronic radiation changes in the right apex . No focal consolidation to suggest pneumonia .