Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderate to severely enlarged . Rightward deviation of the trachea due to a large thyroid goiter is noted . Lung volumes are low . There is mild pulmonary vascular congestion . Small bilateral pleural effusions are noted , with a focal area fluid loculated in the left major fissure . Patchy opacities in the lung bases may reflect atelectasis , but infection can not be excluded . There is no pneumothorax . No acute osseous abnormalities demonstrated .
    OUTPUT:
    
Large thyroid goiter with rightward deviation of the trachea . Low lung volumes with cardiomegaly , small bilateral pleural effusions , mild pulmonary vascular congestion . Bibasilar airspace opacities could reflect atelectasis or infection .