Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Leftward deviation and narrowing of the trachea at the level of the thoracic inlet due to a right upper paratracheal mass is re - demonstrated , better assessed on the recent CT . Multiple clips are again noted within the right neck . Hilar contours are unremarkable . Pulmonary vasculature is not engorged . Known metastases within the lungs , the largest within the left lower lobe and left upper lobe , are also better assessed on the recent CT . Remainder of the lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Hypertrophic changes are seen throughout the thoracic spine .
    OUTPUT:
    
1 . Re - demonstration of leftward tracheal deviation and narrowing at the level of the thoracic inlet due to known right upper paratracheal mass , better assessed on recent CT . 2 . Known pulmonary metastases are better assessed on recent CT . No new focal consolidation identified .