Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Scarring at the lung bases , bilaterally is unchanged . No focal consolidations . No pleural effusion or pneumothorax . Hilar contours are normal . A large left thyroid nodule is unchanged . Moderate hiatal hernia is unchanged . Flattening of the diaphragms and increase of the AP diameter is unchanged from ___ . Moderate kyphosis is unchanged . There is increase atelectasis in the left lower lobe adjacent to the hiatal hernia .
    OUTPUT:
    
1 . Increase atelectasis adjacent to the hiatal hernia . No pneumonia . 2 . Emphysematous changes are unchanged from ___ . 3 . left thyroid nodule is grossly unchanged from ___ .