Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is a large thyroid goiter compressing the airway and deviating the trachea to the left . This finding is unchanged . Lungs appear clear . No signs of pneumonia or edema . Calcified pleural plaque accounts for opacity projecting over the left upper lung . No large effusion or pneumothorax . Cardiomediastinal silhouette is stable . Bony structures appear intact .
    OUTPUT:
    
Large thyroid goiter again noted compressing and deviating the trachea to the left . No acute intrathoracic process .