Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large hiatal hernia . The heart is mildly enlarged . The aorta is calcified . There is an eventration of the right hemidiaphragm , which is elevated anteriorly , similar to prior findings . Right basilar opacities associated with the large hiatal hernia appear increased , but were already present to some extent before and are typical for atelectasis associated with a large hiatal hernia . There is no pleural effusion or pneumothorax . The bones appear demineralized . Moderate reverse S - shaped curvature to the visualized thoracolumbar spine appear similar to the prior examination , including suspected but incompletely characterized degenerative changes , probably at least moderate in severity .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease . Large hiatal hernia .