Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Leftward deviation of the upper trachea is again noted and likely due to a thyroid goiter , mass or vascular prominence . There is no evidence of consolidation , pulmonary edema , or pneumothorax . New small bilateral posterior pleural effusions are present . The aorta is ectatic , but unchanged from prior exam . The cardiac silhouette is normal in size .
    OUTPUT:
    
1 . New bilateral small pleural effusions . 2 . No evidence of pneumonia . 3 . Stable leftward deviation of the trachea . This may be due to a thyroid goiter , mass , or prominent vascular structures . Would recommend a non-urgent CT of the chest for further evaluation .