Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . Hiatal hernia is again noted . The aorta is tortuous . The lungs are hyperinflated ___ grossly clear . There is no pneumothorax or pleural effusion . There is kyphosis and weight shaped deformities of several upper and mid thoracic vertebral bodies this is grossly unchanged from prior study
    OUTPUT:
    
No acute cardiopulmonary abnormalities . Hiatal hernia