Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is stable moderate cardiomegaly . There is rightward tracheal deviation , more prominent when compared to prior studies . There is no pneumothorax . There is no pleural effusion . Pulmonary vascularity is normal .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Left paratracheal density with rightward tracheal deviation , more prominent than on prior studies . This could be due to enlarged thyroid , although none was seen on prior thyroid ultrasound , or other soft tissue . This could be further evaluated with outpatient thyroid ultrasound or CT .