Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size , and there is a left pectoral cardiac pacing device with its leads projecting over the right atrium and ventricle . The lungs are clear of focal consolidation , pleural effusion or pneumothorax . There is no pulmonary edema . Leftward deviation of the trachea may reflect a thyroid goiter .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Leftward deviation of the trachea may reflect a thyroid goiter . Recommend clinical correlation with physical exam .