Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear without consolidation , effusion or pneumothorax . The cardiomediastinal silhouette is within normal limits . Osseous structures are unremarkable . Of note , the trachea is deviated to the left at the thoracic inlet .
    OUTPUT:
    
No acute cardiopulmonary process . Leftward deviation of the trachea at the thoracic inlet which may be due to underlying right - sided thyroid enlargement or nodule and dedicated thyroid ultrasound is suggested .