Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged , unchanged since the prior examination . Again noted are mitral annular calcifications . The mediastinal and hilar contours are unchanged . Again noted is cephalization of the pulmonary vascular markings , suggesting stable , mild pulmonary vascular congestion . No focal consolidation or definite pleural effusion or pneumothorax is identified . The bones are diffusely demineralized . Multilevel vertebral body height loss is noted in the midthoracic spine , which are age - indeterminate . There is exaggerated kyphosis of the thoracic spine .
    OUTPUT:
    
Stable , mild pulmonary vascular congestion , similar to the prior examinations . No definite consolidation .