Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . Tortuosity of the thoracic aorta and aortic knob calcifications are again demonstrated . The pulmonary vasculature is mildly engorged , new compared to the previous study . Lungs are hyperinflated with emphysematous changes again noted within the upper lobes . Patchy opacities are noted in the lung bases , likely atelectasis . No focal consolidation or pleural effusion is present . There are mild to moderate multilevel degenerative changes noted in the thoracic spine along with and S - shaped thoracolumbar scoliosis .
    OUTPUT:
    
Mild pulmonary vascular congestion , new in the interval . Emphysema .