Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size at the upper limits of normal and appears larger compared to previous imaging . Mild cephalization of pulmonary blood flow . No airspace consolidation . No overt interstitial edema . No pleural effusions . No airspace consolidation . No pneumothoraces . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Interval increase in heart size and cephalization of pulmonary blood vessels suggest volume overload or cardiac decompensation . No pleural effusions . No pneumonia .