Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is detected . There is suggestion of a hiatal hernia on frontal radiograph which is not confirmed on lateral radiograph ; this could represent aortic or thoracic spine abnormal density . 2 lower thoracic vertebral bodies are ill - defined anteriorly with loss of the intervertebral disc space .
    OUTPUT:
    
Suggestion of hiatal hernia on frontal radiograph , which is not confirmed on lateral radiograph and may be sliding or represent aortic or paraspinal density . 2 ill - defined lower thoracic vertebral bodies with loss of the intervertebral disc space . CT is recommended . Findings discussed with ___ by ___ by telephone at 06 : 40 on ___ at the time of initial review of the study .