Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___ . Heart size is within normal limits . No configurational abnormalities are identified . Thoracic aorta of ordinary ___ but with some calcium deposits in the wall at the level of the arch . No local contour abnormalities are identified . The pulmonary vasculature is not congested . There is some evidence of increased basal translucency at the lung fields suggestive of COPD . This appears in conjunction with some low positioned diaphragms , but there is no evidence of any local parenchymal new infiltrate and the lateral and posterior pleural sinuses are free from any fluid accumulation . No pneumothorax is seen in the apical area . When comparison is made with the previous examination , at that time appreciated borderline heart size has now normalized .
    OUTPUT:
    
No evidence of cardiac enlargement , pulmonary vascular congestion or acute infiltrates . General findings suggestive of some emphysema as before .