Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size continues to be at the upper limits of normal with enlargement of the left atrium and right ventricle ; these findings suggest both pulmonary hypertension and mitral stenosis . The mediastinal and hilar contours are stable and within normal limits . The lungs are clear . There is no pleural effusion or pneumothorax . Mildly kyphotic appearance of the spine with minimal degenerative change . It is unchanged from prior exam .
    OUTPUT:
    
Enlargement of the right ventricle suggest pulmonary hypertension while enlargement of the left atrium suggests mitral valve stenosis .