Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aortic arch is calcified . A large hiatal hernia is re - demonstrated . The mediastinal and hilar contours are otherwise unchanged . Streaky right lower lobe opacity with bronchial wall thickening is again re - demonstrated . Left lung is clear . No pleural effusion or pneumothorax is definitively noted , with mild scarring seen at the lung apices . Diffuse demineralization of the osseous structures is noted .
    OUTPUT:
    
1 . Persistent streaky opacity in the right lower lobe with bronchial wall thickening suggestive of an infectious process . 2 . Large hiatal hernia .