Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear without focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . The trachea is deviated to the left above the thoracic inlet , raising the possibility of right - sided thyroid enlargement . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process . Leftward deviation of the trachea above the thoracic inlet raises possibility of right - sided thyroid enlargement . Consider evaluation with ultrasound .