Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded with emphysematous changes seen largely in the lower lobes with ring shadows suggestive of minimal bronchiectasis . There is bilateral flattening of the hemidiaphragms . No areas of focal consolidation , masses or lesions are seen . There is no pleural effusion or pneumothorax . There is a large hiatal hernia ; otherwise , the cardiomediastinal silhouette is within normal limits . There is moderate kyphosis of the mid thoracic spine in which compression fractures of two of the mid thoracic vertebra is seen ; chronicity of the fractures is indeterminate . Old left lateral rib fractures are seen . The pleural surfaces are unremarkable .
    OUTPUT:
    
1 ) Emphysematous changes with minimal bronchiectasis seen in the lung bases . Flattening of hemidiaphragms . 2 ) Large hiatal hernia . 3 ) No evidence of infection or malignancy .