Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large left lower cervical mass with associated unchanged rightward deviation of the trachea , which corresponds to a known large left thyroid nodule , as described on prior thyroid ultrasound from ___ . The lungs are hyperinflated . There is no focal consolidation , effusion or pneumothorax . There is a large hiatal hernia with an air - fluid level .
    OUTPUT:
    
No evidence of pneumonia .