Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable views of the chest were obtained . Deviation of the trachea with adjacent left paratracheal opacity is unchanged secondary to reported known goiter . No pleural effusion , or evidence of pneumothorax is seen . Cardiac and mediastinal silhouettes are stable and unremarkable .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Again seen is deviation of trachea secondary to reportedly known goiter . 3 . COPD / emphysema .