Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Low lung volumes are again noted . The lungs are clear of focal consolidation . Cardiomediastinal silhouette is within normal limits . Deviation of the trachea to the right at the thoracic inlet is compatible with left - sided thyroid nodule . No displaced fracture is identified . Degenerative changes seen at the shoulders and hypertrophic changes are seen in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .