Findings:
There is a moderately large hiatal hernia. There are mild multilevel thoracolumbar degenerative changes with multiple Schmorl’s nodes. There is centrilobular and paraseptal emphysema. Punctate granuloma in the right lower lobe.

Impression:
There is a moderately large hiatal hernia. There is also centrilobular and paraseptal emphysema.

Recommendations:
For your training purposes, recommendations are not included in this report.