Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . There is moderate cardiac enlargement . No typical configurational abnormality is seen , but there exists a relative prominence of the left ventricular contour . This finding coincides with a general widening and elongation of the thoracic aorta suggests systemic hypertension . There is , however , no conclusive evidence for any significant pulmonary vascular congestion . No evidence of acute infiltrates and the lateral and posterior pleural sinuses are free . No pneumothorax in apical area on frontal view . Skeletal structures demonstrate moderate degree of degenerative changes in the thoracic spine but no clear vertebral body compression fracture . When comparison is made to the frontal view of a previous chest examination of ___ , the heart size has increased slightly and the thoracic aorta is more prominent as it was then .
    OUTPUT:
    
Elderly female patient with mild cardiac enlargement and generally widened thoracic aorta but no evidence of acute CHF and no acute infiltrates .