Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient 's condition required examination in sitting upright position using AP frontal and left lateral views . Comparison is made with the next preceding single chest view examination of ___ as well as an older PA and lateral chest examination of ___ . There is moderate cardiac enlargement , the configuration indicative of left ventricular prominence . Thoracic aorta is generally widened and elongated but no local contour abnormalities are identified . Pulmonary vasculature demonstrates an upper zone re-distribution pattern suggestive of some increased left - sided filling pressure , but there is no evidence of overt interstitial or alveolar edema . The lateral and posterior pleural sinus remain free from any fluid accumulation . Similar as noted on two previous examinations , there is a moderate elevation of the right - sided diaphragm which results in some crowded appearance of the pulmonary vasculature on the right lung base . There is , however , no evidence of any acute parenchymal infiltrate . No pneumothorax is seen in the apical area . Skeletal structures of the thorax demonstrate mild degree of S - shaped scoliosis with moderate degenerative changes , but no evidence of any acute vertebral body compression fracture .
    OUTPUT:
    
Mild degree of chronic pulmonary congestion , chronic elevation of right - sided diaphragm with thereto related crowded appearance of vasculature but no evidence of acute infiltrates , pleural effusion , or pneumothorax in this elderly female patient .