Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . The heart is moderately enlarged . Pulmonary vasculature , including the hila , is more engorged , but there is no edema or pleural effusion . A large hiatal hernia is chronic . There is no pneumothorax . Rightward tracheal deviation , more pronounced today , is probably due to an enlarging goiter . A mild wedge compression deformity of a midthoracic vertebral body is unchanged .
    OUTPUT:
    
Moderate cardiomegaly , borderline decompensation . Large , growing goiter . Moderate hiatal hernia .