Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Normal heart size , mediastinal and hilar contours . Stable tortuosity of the thoracic aorta . No focal consolidation , pleural effusion or pneumothorax . Unchanged calcified 6 mm granuloma in the right lower lobe . The trachea is deviated to the left likely by the known thyroid goiter , unchanged from prior .
    OUTPUT:
    
No acute process .