Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The AP single view of the chest demonstrates significant cardiac enlargement even considering possible of geometric distorsion as patient was examined in semi-upright position using AP views . In comparison with the next preceding portable chest examination of ___ , the heart size has further increased . The pulmonary vasculature demonstrates now bilateral marked perivascular haze and distended vessels in comparison with the previous exam and is indicative of at least moderate degree of CHF . Observed is also a resected rib in the left hemithorax ( probably ___ 6 ) , finding which already was present on the preceding study . The diaphragms are relatively high positioned indicating poor inspirational effort and adding to crowded appearance of pulmonary vasculature . The lateral pleural sinuses , however , remain free of any major fluid accumulation . No pneumothorax is seen in the apical area .
    OUTPUT:
    
Single view portable chest examination demonstrates findings compatible with left - sided CHF .