Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart , mediastinum , hila , and pleural surfaces are normal . Lungs are clear without focal consolidation or effusion . Of note , indentation at the subglottic trachea / lower larynx is new . Surgical clips are present and unchanged in the overlying soft tissues in the right neck . Spina bifida of the lower cervical spine is unchanged .
    OUTPUT:
    
1 . New indentation at the subglottic trachea / lower larynx , perhaps due to an underlying mass . A CT of the neck could be considered for further workup , if clinically indicated . 2 . No evidence of pneumonia .