Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the prior examination dated ___ , there has been no significant interval change . Low lung volumes resultant crowding of the bronchovascular structures . There is no lobar consolidation , pleural effusion , or pneumothorax . The heart size is within normal limits . A large hiatal hernia is again seen . Multiple known osseous metastases are poorly visualized on today 's examination .
    OUTPUT:
    
Stable appearance of the chest with low lung volumes and a large hiatal hernia . No evidence for superimposed acute cardiopulmonary process .