Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderately enlarged similar to prior study with the cephalization of the pulmonary vasculature and minimal increased reticulation suggestive of minimal interstitial edema . The lungs are otherwise clear without focal consolidation . There is no pleural effusion or pneumothorax . The osseous structures are locally demineralized with prominent kyphotic angulation of the thoracic spine .
    OUTPUT:
    
Moderate cardiomegaly with mild fluid overload and minimal interstitial edema improved from prior study .