Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . As seen on previous examination , there exists a moderate degree of right - sided convex scoliosis in the thoracic spine and the lateral view confirms the existence of a marked accentuation of the kyphotic curvature in the entire thoracic spine . Diffuse demineralization is noted with diffuse demineralization of the vertebral bodies , but no conclusive evidence of any compression fracture . Degree of osteophytic degeneration at the anterior right - sided borders of the individual vertebral bodies has increased . There is probably mild degree of cardiac enlargement without typical configurational abnormality . The thoracic aorta is moderately widened and elongated and follows the scoliotic curvature of the spine . There is presently no evidence of significant pulmonary vascular congestion and the lateral and posterior pleural sinuses are free from any fluid accumulation . Nowhere in the lung fields is there any evidence of any new pneumonic parenchymal infiltrate and the apical area does not show evidence of any pneumothorax .
    OUTPUT:
    
Marked scoliotic and kyphotic deformity of the thoracic spine with mild degree of progression over the last ___ years . Moderate cardiac enlargement without evidence of pulmonary congestion and no evidence of acute infiltrates or pleural effusion .