Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . Mild pulmonary vascular congestion is overall and top - normal heart size are unchanged . No pleural effusion or pneumothorax . Extensive degenerative changes of the thoracic spine are overall unchanged . Surgical clips are noted on the lateral view projecting over the upper abdomen .
    OUTPUT:
    
Stable mild cardiomegaly .