Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation noting slightly decreased inspiratory effort on the frontal view . The trachea is deviated to the left at the thoracic inlet . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process . Leftward tracheal deviation at the thoracic inlet raising the possibility of right - sided thyroid enlargement , new since ___ . Neck CT can be performed for further evaluation .