Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The frontal radiograph is in a lordotic position , somewhat limiting evaluation . However , the lungs appear normally expanded and clear . The cardiomediastinal silhouette and hilar contours are normal . There is no pleural effusion or pneumothorax . Slight deviation of the trachea may reflect goiter .
    OUTPUT:
    
No acute cardiopulmonary abnormality detected . Possible thyroid goiter could be correlated with physical exam .