Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in cardiac size with cephalization of pulmonary blood vessels and mild vascular indistinctness suggesting early interstitial edema . No alveolar edema . No pleural effusions . No focal airspace consolidation to suggest pneumonia . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Findings in keeping with cardiac decompensation and early interstitial edema .