FINDINGS:
There is at prominence of the interstitial markings although less extensive
 when compared to prior. There is no confluent consolidation or effusion. The
 heart size is normal. No focal consolidations concerning for pneumonia. No
 pneumothorax.  A TIPS is identified in the right upper quadrant.

IMPRESSION:
Continued prominence of the interstitial markings, although less extensive
 than on prior and no current pleural effusions. These may be due to mild
 pulmonary edema or chronic underlying interstitial process.