Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . No confluent opacity is identified . No pulmonary edema or large pleural effusion is evident . No pneumothorax is visualized . Mediastinal and hilar contours are within normal limits . Moderate - to - severe cardiomegaly is unchanged . There is new mild leftward tracheal deviation . Findings are concerning for extrinsic mass effect upon the trachea from a neck mass . Possibilities include lymphadenopathy , abscess or thyroid pathology . Correlation with clinical symptoms and physical exam is recommended .
    OUTPUT:
    
1 . No pulmonary edema or confluent consolidation . 2 . Unchanged severe cardiomegaly . 3 . New mild left tracheal deviation concerning for lesion in the right neck causing laryngeal dispalacement Recommend correlation with symptoms and physical findings . Recommendations were emailed to the emergency department QA nurses who will contact the patient to arrange for follow - up .