Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior exam , the lung volumes are lower . There is increased pulmonary vascular congestion and mild pulmonary edema . There is no focal airspace consolidation . There is no pleural effusion or pneumothorax . The aortic arch is calcified and tortuous . Additionally , there are aortic valve and coronary artery calcifications . The cardiac silhouette is severely enlarged . Allowing for changes in lung volumes , there is no significant change . The left hemidiaphragm is mildly elevated . The bones are severely osteopenic , limiting evaluation . In a lower thoracic vertebral body , there be a slight increase in loss of anterior vertebral body height , which is likely degenerative . No acute fracture is identified .
    OUTPUT:
    
1 . New mild pulmonary edema . 2 . Stable cardiomegaly . 3 . No evidence of fracture on this limited exam .