Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . There is cardiomegaly without significant pulmonary vascular congestion , similar to prior , which can be seen in cardiomyopathy or pericardial effusion . The 3 mm nodule in the right mid lung is unchanged from prior . Mediastinal width is within normal size . There is vertebral body height loss at multiple levels of thoracic spine , similar to prior .
    OUTPUT:
    
Cardiomegaly without pulmonary vascular congestion is similar to prior . The finding can be seen in setting of cardiomyopathy or pleural effusion .