Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . The heart size is normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . The pulmonary vessels are somewhat larger than typically seen in a patient of this age , including slightly increased cephalization compared to the prior study from ___ .
    OUTPUT:
    
Mildly enlarged pulmonary vessels could indicate cardiac decompensation . Otherwise , no acute cardiac or pulmonary process .