Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart has substantially increased in size . Although only mild - to - moderately enlarged , there is substantial suspected left ventricular hypertrophy or dilatation . Otherwise , the mediastinal contours appear unchanged . Mild interstitial prominence which suggests slight congestion including peribronchial cuffing . The appearance includes a vaguely focal increased opacification projecting over the right lower lung , although of interstitial character . There is no pleural effusion or pneumothorax . Mild degenerative changes are noted along the thoracic spine . Mild anterior wedging is noted along the mid thoracic vertebral body and several mid thoracic vertebral bodies show minimal loss in height , although not significantly changed .
    OUTPUT:
    
1 . Cardiomegaly with a left ventricular configuration , substantially increased since remote earlier radiographs . 2 . Mild diffuse interstitial abnormality , most suggestive of mild pulmonary vascular congestion . 3 . Somewhat confluent interstitial opacification in the right lower lung , although not necessarily representing a separate process . Followup radiographs are recommended in the short - term , however , preferably with PA and lateral technique if possible , to reassess .