Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung bases are underpenetrated , likely due to overlying soft tissue . Given this , no focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is top - normal to mildly enlarged . There is rightward deviation of the trachea with apparent mass effect on the trachea , increased as compared to the prior study , which may be due to underlying enlargement of the thyroid gland .
    OUTPUT:
    
No focal consolidation . Interval increase in rightward deviation of the trachea , as compared to chest radiograph from ___ , suggesting interval increase in size of the thyroid gland , with increased mass effect on the trachea . This could be further assessed with non urgent thyroid ultrasound .