Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the most recent prior radiographs , there has been no significant change . No focal consolidation , pleural effusion , or pneumothorax . There is marked cardiac enlargement , unchanged . There is prominence of the mediastinum , particularly on the right side , which is unchanged from prior radiographs and probably related to a distended innominate artery . Compared to the most recent prior radiograph , upper zone redistribution of pulmonary vasculature has resolved . There is dextroscoliosis of the spine with moderate - to - severe degenerative changes of the thoracic spine .
    OUTPUT:
    
Stable cardiomegaly . No infiltrate or vascular congestion .