Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar contours are normal , however at the level of the thoracic inlet , there is mild widening of the mediastinum . The lungs are clear without evidence of focal consolidations concerning for pneumonia . There is no pleural effusion or pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
1 . No acute intrathoracic abnormalities identified . 2 . Mild widening of the mediastinum at the thoracic inlet is concerning for an enlarged thyroid goiter . An ultrasound of the thyroid is recommended for further evaluation . Updated findings were submitted to the ___ nurse on the day of the exam by Dr . ___ .