Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is stably enlarged . There is mild central vascular congestion . Lungs are hyperinflated . No large pleural effusion . No pneumothorax . Osseous structures are demineralized and the wedge compression fracture in the lower thoracic / upper lumbar spine is unchanged .
    OUTPUT:
    
Stable cardiomegaly . Mild vascular congestion .