Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . Enlarged right lobe of the thyroid displaces the trachea to the left , as seen on prior studies . There is no pleural effusion , pulmonary edema , pneumothorax , or focal consolidation . The cardiomediastinal silhouette is stable , with top - normal sized heart and aortic arch calcifications . Multilevel degenerative changes in the thoracic spine and accentuated thoracic kyphosis are noted .
    OUTPUT:
    
No acute cardiopulmonary process . Enlarged thyroid .