Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear with no evidence of a consolidation , effusion , or pneumothorax . Cardiac silhouette is normal . Left tracheal deviation is again noted likely due to a thyroid goiter . No acute fractures are identified .
    OUTPUT:
    
No acute cardiopulmonary process . Left tracheal deviation is again noted likely due to a thyroid goiter .