Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . There is now moderate cardiac enlargement which has increased in comparison with the previous study where the heart was deemed to be slightly enlarged . The present configuration demonstrates a prominence of the left ventricular contour to the left and posteriorly , and there is also evidence of some moderate left atrial enlargement . The thoracic aorta is moderately widened and elongated but does not demonstrate any local new contour abnormality . The pulmonary vasculature demonstrates an upper zone re-distribution pattern and in addition increased interstitial markings are noted at the lung bases , most likely representing interstitial edema . The pleural sinuses , however , remain free from any significant fluid accumulation , and there is no evidence of new discrete pulmonary parenchymal infiltrates . No evidence of pneumothorax exists in the apical area . On the lateral view , there is no conclusive evidence for intracardiac valve calcifications ; however , close to the expected aortic root , there are some semi-linear calcifications apparently located in the most proximal aortic wall . There is no evidence or suspicion for any acute pulmonary mass lesion .
    OUTPUT:
    
Increasing heart size with prominence of left ventricular contour and increasing chronic pulmonary venous congestion with interstitial edema . These changes have clearly progressed since the next preceding examination of ___ . Possibility of cardiogenic cause of increasing pulmonary vascular congestion could be considered . A renewed echocardiogram may be of value .