Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are within normal limits . The lungs are hyperinflated , likely reflecting COPD . Coarse bilateral opacities likely denote atelectasis and mild scarring . Mild rightward deviation of the trachea at the thoracic inlet unchanged , secondary to reportedly known goiter .
    OUTPUT:
    
No acute intrathoracic process .