Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is stable . Tortuous and calcified aorta is again seen . Large hiatal hernia is also again noted , limiting evaluation of the medial lower lobes on the PA view and of the basal lower lobes on the lateral view . Linear atelectasis is again seen in the right lower lobe adjacent to the hernia . No definite new pulmonary consolidation is identified . The lungs remain hyperinflated . There is no evidence for pulmonary edema or pleural effusion . The bones are demineralized .
    OUTPUT:
    
Stable appearance of the chest without evidence for acute cardiopulmonary abnormalities . The large hiatal hernia limits evaluation of the lower lobes , as detailed above .