Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate low lung volumes . There is an enlarged heart with cephalization and large upper lobe vessels , unchanged since prior examination and consistent with patient 's history of diastolic heart failure . No focal consolidation , pleural effusion , or pneumothorax . A tortuous aorta is noted . Redemonstration of kyphotic thoracic spine and stable vertebral body collapse .
    OUTPUT:
    
Moderately enlarged heart with cephalization of pulmonary vasculature consistent with patient 's history of diastolic heart failure stable since prior examination in ___ . No focal opacity .