Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient positioning and slight rotation limits evaluation . The upper trachea is deviated toward the right with fullness of the left superior mediastinum compatible with known goiter . Low lung volumes are present . The heart is moderately enlarged but appears relatively unchanged compared to the prior exam . The aorta is tortuous and calcified . There is crowding of the bronchovascular structures , but no overt pulmonary edema is identified . A clip denoting the previously ablated lesion projects over the left upper lung field with associated linear scarring . There is likely minimal bibasilar atelectasis . No focal consolidation , pleural effusion or pneumothorax is detected . Numerous left - sided rib deformities are again noted .
    OUTPUT:
    
Low lung volumes . No acute cardiopulmonary abnormality .