Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes accentuate the cardiac silhouette and bronchovascular structures . Calcified lymph nodes are present in the right hilar region as well as a calcified granuloma in the right upper lobe . Patchy opacity in left retrocardiac region is new , and may reflects patchy atelectasis in the setting of low lung volumes . Acute aspiration is an additional consideration in the appropriate clinical setting . Note is also made of apparent rightward deviation of the trachea , at the level of the thoracic inlet . This is difficult to evaluate on a portable radiograph , particularly as the patient 's neck appears to be turned towards the right on this exam .
    OUTPUT:
    
Apparent rightward deviation of trachea . Repeat radiograph with the neck in neutral position may be helpful to differentiate the effects of rotation from tracheal displacement from a fixed abnormality such as an adjacent thyroid mass .