Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Marked thoracic scoliosis is again seen . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Evidence of large hiatal hernia is again seen . Multilevel degenerative changes along the spine are again seen with multilevel compression deformities , grossly stable .
    OUTPUT:
    
No significant change . No acute cardiopulmonary process .