Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . The trachea is noted to be deviated to the right , unchanged from prior exams and suggestive of enlarged left thyroid lobe . There is moderate cardiomegaly with severe left atrial enlargement . Median sternotomy wires are noted .
    OUTPUT:
    
1 . Rightward deviation of the trachea , suggestive of thyroid goiter . 2 . Moderate cardiomegaly with severe left atrial enlargement .