Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . The lungs are clear of consolidation . Blunting of the left lateral costophrenic angle could be due to small effusion or pleural thickening / scarring . Calcified left apical granuloma is again noted as well as calcified AP window nodes . There is no pulmonary vascular congestion . Cardiac silhouette is enlarged but not significantly changed . The trachea is deviated to the left at the thoracic inlet raising possibility of underlying enlargement of a thyroid on the right . Degenerative change is noted at the acromioclavicular joint and posterior upper right rib fractures are again noted .
    OUTPUT:
    
Cardiomegaly but no definite acute cardiopulmonary process . Other details as above .