Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperexpanded but clear . There are no pleural effusions or pneumothorax . Rightward deviation of trachea at the level of the thoracic inlet , secondary to goiter seen on CT neck from ___ . Heart size is normal . Aorta is tortuous and calcified . Mild degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process . Possible COPD . Chronic goiter .