Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient upright position . Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___ . The heart size has further increased and is now considered to be at least moderate . The configuration demonstrates a left ventricular contour prominence to the left posteriorly and there is an additional considerable bulge of the left atrial contour posteriorly on the lateral view . The pulmonary vasculature demonstrates an upper zone redistribution pattern and some slight increase of interstitial structures on the bases . There is , however , no evidence of advanced interstitial or central pulmonary edema . No acute parenchymal infiltrates can be identified . Peripheral thin plate atelectasis is noted on the right lung base . The lateral and posterior pleural sinuses are free from any fluid accumulation and there exists no pneumothorax in the apical area on the frontal view . Lateral view demonstrates markedly accentuated kyphotic curvature in the thoracic spine with generally demineralized vertebral body and two markedly compressed vertebral bodies at level T7 and T11 . The kyphotic curvature results in an increased depth diameter of the chest with barrel - shape configuration . Again acute pulmonary parenchymal infiltrates can not be identified . In retrocardiac position a moderately sized hiatal hernia is identified .
    OUTPUT:
    
Further increase of heart size in comparison with previous examination 11 months ago . Chest findings are consistent with mild degree of chronic pulmonary congestion with absence of acute pulmonary edema or pleural effusion . No acute infiltrates are seen . Stable appearance of previously diagnosed hiatal hernia . Mild progression of heart size may be related to increasing mitral valve incompetence as previously diagnosed on echocardiography .