Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is no focal consolidation , pleural effusion , or pneumothorax . Mild - to - moderate cardiomegaly is unchanged from ___ but the heart is slightly larger than in ___ . The upper lobe vessels are chronically dilated .
    OUTPUT:
    
Chronic cephalization , probably from long standing borderline heart failure .