Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear of focal consolidation , effusion or vascular congestion . Moderate cardiomegaly has likely progressed since ___ however accurate assessment is difficult due to differences in positioning . Vertebroplasty changes in the lower thoracic spine are new since prior . Accentuated thoracic kyphosis is noted .
    OUTPUT:
    
Cardiomegaly likely progressed since ___ . No superimposed acute cardiopulmonary process .