Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . The heart is mildly enlarged . The configuration suggests a prominence of the left ventricular contour , but there is no significant enlargement of the left atrium . The thoracic aorta is moderately widened and elongated , but without local contour abnormalities or prominent wall calcifications . The pulmonary vasculature is not congested . No signs of acute or chronic parenchymal infiltrates are present . There is a mild blunting of the right lateral pleural sinus extending into the posterior pleural sinus . The left lateral and posterior pleural sinuses are also free . No pneumothorax in the apical area on frontal view . Moderate degree of degenerative changes in the form of bridging osteophytes are seen in the mid portion of the thoracic spine , but there is no evidence of vertebral body compression . When comparison is made with the next preceding portable chest examination , the pulmonary vascular pattern was more prominent . It coincided also with significantly poorer inspiration with high diaphragms as compared to the present examination . This resulted in a crowded appearance of the pulmonary vasculature . The patient also may have been over hydrated at that time when examined in the emergency ward . This congestive pattern has completely normalized on today 's examination .
    OUTPUT:
    
Mild cardiac enlargement and moderately widened and elongated thoracic aorta , consistent with systemic hypertension . No evidence of pulmonary congestion . Small right - sided pleural scar formation . Otherwise , findings within normal limits .