Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Note is again made of hyperinflated lungs with mild flattening of the hemidiaphragms and bi apical hyperlucency compatible with COPD . No focal consolidation concerning for pneumonia is detected . There is no significant pleural effusion or pneumothorax . A large calcified thyroid goiter is re - demonstrated with retrosternal extension and rightward deviation of the superior trachea at the level of the thoracic inlet . The cardiac silhouette is mildly enlarged but unchanged . A tortuous and calcified aorta is again noted . Multiple healed right - sided rib fractures are re - demonstrated .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Stable mild cardiomegaly . 3 . Re-demonstrated enlarged mediastinal thyroid goiter with rightward deviation of the superior trachea .