Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart is normal size and cardiomediastinal silhouette is stable . The lungs are hyperexpanded , similar to the prior examination . There is no focal consolidation , pleural effusion , or pneumothorax . There is interval redistribution of the pulmonary vasculature with cephalization . Multilevel degenerative changes in the spine are noted .
    OUTPUT:
    
Redistribution of the pulmonary vasculature with cephalization is consistent with pulmonary venous engorgement and could be positional or represent mild pulmonary edema .