FINDINGS:
There is persistent prominence of the hila suggesting vascular engorgement
 with possible mild increase in vascular congestion as compared to the prior
 study. No new focal consolidation is seen. There is no large pleural effusion
 or pneumothorax. The cardiac and mediastinal silhouettes are stable.

IMPRESSION:
Persistent prominence of the hila suggesting pulmonary vascular
 engorgement/enlargement of the central pulmonary arteries, similar to prior,
 with possible mild increase in vascular congestion as compared to prior study.