Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . There small bilateral pleural effusions and volume loss at both bases . There is pulmonary vascular redistribution . The vertebral bodies are osteopenic with vertebral body height loss most marked in the mid thoracic vertebral bodies which has increased slightly compared to the study from last ___
    OUTPUT:
    
CHF , worse compared to prior . Vertebral body compression fractures worse compared to prior