Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Compared to prior there has been no significant interval change . Again seen is a large hiatal hernia . The lungs are clear of new consolidation or effusion . Vague opacity projecting over the right lung apex is again noted . Trachea is deviated to the left at the thoracic inlet suggestive of right thyroid enlargement . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary process . Other details as above .