Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , mild cardiomegaly is new , with new indistinctness of the pulmonary vasculature and cephalization , indicating early congestive heart failure . Small region of bullae in the right upper lobe indicates underlying emphysema . No focal consolidation or large effusions . No pneumothorax .
    OUTPUT:
    
1 . Findings suggestive of early congestive heart failure . 2 . Right upper lobe emphysema .