FINDINGS:
Cardiomediastinal contours are stable in appearance with persistent
 very large hiatal hernia.  Linear areas of atelectasis are present in both mid
 lung regions, and atelectasis is also identified in the lower lungs adjacent
 to the large hiatal hernia.  No areas of consolidation are evident.  Small
 pleural effusions are present bilaterally.  Bones are diffusely demineralized,
 and multilevel compression deformities are present, most marked at the
 thoracolumbar junction and upper lumbar region, with similar appearance in the
 thoracic spine to recent CT of .  The patient is status post
 vertebroplasty procedures in the upper lumbar spine.

IMPRESSION:
Large hiatal hernia.  Multifocal atelectasis and small pleural
 effusions.