Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette with a left ventricular predominance is re - demonstrated . The aorta is tortuous . Mediastinal and hilar contours are unchanged . Symmetric narrowing of the trachea just superior to the thoracic inlet is due to the presence of a large thyroid goiter , better assessed on the previous CT . Elevation of the right hemidiaphragm appears unchanged . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Mild compression deformity of a mid thoracic vertebral body is stable . No acute osseous abnormality is identified .
    OUTPUT:
    
No acute cardiopulmonary abnormality .