Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are somewhat hyperexpanded and suggestive of chronic obstructive pulmonary disease . Cardiomediastinal silhouette is normal . Mild left basilar atelectasis is noted , but the lungs are without focal consolidation , effusion , or pneumothorax . Again noted is marked rightward deviation of the trachea at the thoracic inlet , similar to prior study and most likely representative of an underlying goiter . There is aortic tortuosity with calcifications of the aortic arch . Diffuse osteopenia is again noted . A clip is noted in right upper quadrant and consistent with history of cholecystectomy .
    OUTPUT:
    
No acute cardiopulmomary process .