Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are remarkable for widening of the left superior mediastinal contour with associated rightward deviation of the trachea above the thoracic inlet level . This is likely due to left lobe thyroid enlargement with associated peripheral calcifications visualized . . The pulmonary vasculature is normal . Lungs are clear except for a heterogeneous rib focus of consolidation within the right middle lobe . . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Heterogeneous right middle lobe opacity is concerning for developing infectious pneumonia in the appropriate clinical setting . Deviation of the proximal trachea is likely due to enlargement of left lobe of thyroid gland with possible partially calcified nodules . If this has not been evaluated previously , thyroid ultrasound would be recommended .