Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette remains enlarged although slightly less prominent as compared to the prior study . The aortic knob remains calcified . There is increase in perihilar opacities compared to the prior study of note in the right upper and lower lobe as well as in the left perihilar region , findings which may be due to worsened asymmetric pulmonary edema , however , underlying consolidation due to infection or aspiration is not excluded . No large pleural effusion is seen . There is no evidence of pneumothorax . Compression of at least one vertebral body at thoracolumbar junction not seen on the lateral view is of indeterminate age .
    OUTPUT:
    
Moderate enlargement of the cardiac silhouette . Increase in perihilar opacities particularly in the right upper , lower , left perihilar region while could relate to worsened pulmonary edema , but underlying consolidation due to infection and / or aspiration not excluded .