Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is unchanged compared to the prior study . There is mild prominence of the bilateral hila and upper lobe pulmonary vasculature without frank pulmonary edema . No consolidation , pneumothorax or pleural effusion seen . The visualized bony structures are unremarkable in appearance except to note multiple anterior flowing osteophytes throughout the thoracic spine .
    OUTPUT:
    
No significant interval change when compared to the prior study .