Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are relatively hyperinflated . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Evidence of a hiatal hernia is seen . The cardiac silhouette is top - normal . The aorta is slightly tortuous and calcified . Partial imaged is right humeral prosthesis . The bones are diffusely osteopenic . Evidence of prior vertebroplasty / kyphoplasty is seen in the lower thoracic spine at the level . There is intervertebral disk space narrowing at the lower thoracic spine as well as moderate to severe anterior wedging of a lower thoracic vertebral body .
    OUTPUT:
    
Clear lungs without focal consolidation . Hiatal hernia .