Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic interstitial changes at the lung bases noted . The hemidiaphragms are flattened . No pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . Clips are noted in the right axilla . The small hiatal hernia is noted .
    OUTPUT:
    
1 . Chronic interstitial bibasilar changes and flattening of the hemidiaphragms may represent chronic pulmonary disease . For further evaluation of interstitial lung disease , chest CT would be recommended . 2 . Small hiatal hernia .