Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is suggestion of a large hiatal hernia and likely diaphragmatic eventration or Morgagni hernia , evidenced by bowel projecting over the low anterior chest on lateral view ; this limits evaluation at the lung bases . Within this limitation , no pleural effusion , pneumothorax , or pulmonary edema is detected . Mild interstitial change in the left upper lung and minimal opacification of the posterior lung base on lateral view are non-specific ; chronicity can not be determined in the absence of prior imaging . Heart size is difficult to evaluate in this setting . The aorta is tortuous and calcified . Prominence of the ascending aorta may be due to patient position , but ascending aortic aneurysm can not be excluded . Loss of vertebral body height in the thoracic spine with thoracic kyphosis is age indeterminate .
    OUTPUT:
    
1 . Limited exam due to at least one large hernia vs eventration of the diaphragm without definitive radiographic evidence for acute cardiopulmonary process . 2 . Possible ascending thoracic aortic aneurysm . 3 . Thoracic kyphosis with vertebral body loss of height at multiple levels , age indeterminate . Due to indeterminate findings and limitations , CT may be helpful if clinically warranted . Findings discussed with ___ by ___ by telephone at 3 :40 p .m . on ___ at the time of initial review of the study .