Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is tracheal deviation rightwards . The lungs are well - expanded and clear . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable .
    OUTPUT:
    
1 . Rightward tracheal deviation is likely related to patient 's known large left lower pole thyroid nodule . Clinical correlation recommended and if concern a non urgent thyroid ultrasound can be obtained for further evaluation 2 . No pneumonia or pulmonary edema .