Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate - to - large hiatal hernia , as before , with an air - fluid level . The cardiac , mediastinal and hilar contours appear stable . Similar to prior findings , there are streaky horizontal opacities in both lower lungs , most consistent with minor scarring . There is no pleural effusion or pneumothorax . Two compression deformities along the lower thoracic spine , the lower one with vertebroplasty changes , appears stable . Below that , posterior fusion hardware is again partly visualized . Kyphosis is exaggerated . Right - sided rib deformities are unchanged . The bones appear demineralized .
    OUTPUT:
    
Hiatal hernia . No evidence of acute disease .