Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires are intact . Lung volume is low . There is no consolidation , pneumothorax , or pleural effusion . Cardiomediastinal and hilar silhouette are normal size . Large anterior osteophyte is noted in lower thoracic spine . Trachea is deviated to the left at the thoracic inlet level .
    OUTPUT:
    
No acute cardiopulmonary process . Trachea is deviated to the left at the thoracic inlet level .