Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large hiatal hernia with an air - fluid level , as seen previously . The chest is hyperinflated . The cardiac , mediastinal and hilar contours appear stable including calcification along the aortic arch . There is a suspected unchanged calcified right hilar lymph node . Pulmonary edema has cleared . There are no pleural effusions or pneumothorax . A very small hyperdense focus projecting over the right upper lung is consistent with an unchanged granuloma . The bones appear demineralized . A mild - to - moderate lower thoracic compression deformity appears unchanged . Suspected upper lumbar compression fractures appear mild , but were not imaged previously .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease . Hyperinflation . Large hiatal hernia .