Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is moderately enlarged , similar to prior examination . Mediastinal silhouette and hilar contours are unchanged . Calcifications are noted within the thoracic aortic arch . There is mild pulmonary vascular congestion with trace interstitial edema . A right apical granuloma is unchanged . Lungs are otherwise clear without focal consolidations . There is no pleural effusion or pneumothorax . The osseous structures are globally demineralized in appearance . There is severe compression deformity of a lower thoracic vertebral body and deformity of the right proximal humerus similar in appearance to prior study .
    OUTPUT:
    
Moderate cardiomegaly with vascular congestion and trace pulmonary edema . No focal consolidation worrisome for pneumonia . Unchanged severe compression deformity of the lower thoracic vertebral body .