Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged but similar . The aorta is calcified and mildly tortuous . There is mild pulmonary vascular congestion , minimally improved compared with the prior study . No focal consolidation , pleural effusion or pneumothorax is present . There appears to be a small to moderate sized hiatal hernia . Multiple compression deformities of the thoracolumbar spine are unchanged . No acutely displaced rib fractures are seen .
    OUTPUT:
    
Mild pulmonary vascular congestion . No acute osseous abnormalities are seen .