Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and CABG . Heart size is mildly enlarged with a moderate hiatal hernia noted . Mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . Patchy opacities are seen in the lung bases , more pronounced on the left , worse in the interval , and may reflect superimposed aspiration on a background of chronic interstitial abnormality . No pleural effusion or pneumothorax is present . Compression deformity of the T12 vertebral body is re - demonstrated . Fractures of the right fifth and sixth lateral ribs are again noted .
    OUTPUT:
    
Right fifth and sixth lateral rib fractures . No pneumothorax . Patchy opacities in the lung bases , more pronounced on the left , may reflect superimposed aspiration on a background of chronic interstitial abnormality . Moderate hiatal hernia .