Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . The trachea is narrowed and deviated to the right by a left neck mass , consistent with known large goiter . The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . Cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .