Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant change since the prior study . The cardiac and mediastinal silhouettes are stable , with the cardiac silhouette mildly enlarged and the aortic calcified and tortuous . No pleural effusion or pneumothorax is seen . No definite focal consolidation . Hilar contours are stable . Degenerative changes of bilateral shoulder and acromioclavicular joints are seen . There is also stable compression / anterior wedging deformity laterally to the vertebral bodies , 1 in the mid thoracic spine and 1 at the thoracolumbar junction .
    OUTPUT:
    
No significant interval change . Stable enlargement of the cardiac silhouette .