Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged with a large hiatal hernia noted , increased in size compared to the previous study . The mediastinal and hilar contours are otherwise unchanged . There is mild pulmonary vascular congestion . Atelectasis is seen in the left lung base . No pleural effusion , focal consolidation or pneumothorax is present . Multiple compression deformities are seen within the lower thoracic spine , new from the previous examinations , but likely chronic in age . Remote left - sided rib fractures are also present .
    OUTPUT:
    
1 . Large hiatal hernia . 2 . Mild pulmonary vascular congestion . 3 . Interval development of chronic appearing lower thoracic vertebral body compression deformities and remote left - sided rib fractures .