Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . The cardiomediastinal silhouette is within normal limits . Leftward deviation of the trachea at the thoracic inlet is noted . No acute osseous abnormalities . Surgical clips noted in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process . Leftward deviation of the trachea at the thoracic inlet raises possibility of right - sided thyroid enlargement . Consider thyroid ultrasound .