Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly is severe and appears worsened on the frontal view compared to prior exams , although this may be partly accounted for by AP technique and rotation of the patient . Increased prominence of the right upper mediastinal contour compared to prior is also noted and may also be in part technical . The hilar contours are stable . There is no pleural effusion or pneumothorax . Mild interstitial prominence is again seen without pulmonary edema . There is no focal consolidation concerning for pneumonia . Multiple wedge deformities of the thoracic spine are noted , including one in the lower thoracic spine which appears significantly progressed and another in the mid thoracic spine which is moderately progressed compared to ___ .
    OUTPUT:
    
1 . Severe cardiomegaly which appears worsened compared to prior , which may be in part technical . 2 . Prominent right upper mediastinal contour , which likely correlates to known ascending aortic dilation . 3 . Mild interstitial prominence consistent with vascular congestion . No pulmonary edema . 2 . Multiple wedge deformities in the thoracic spine , progressed from prior .