Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 views were obtained of the chest . The heart is moderately enlarged with tortuous aortic contour . Tracheal deviation is consistent with known multinodular goiter . The lungs are clear without pleural effusion or pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly without acute intrathoracic process .