1. Bilateral minimal infiltrates are seen in the para-cardiac region.
2. Supine and erect abdominal x-rays (Fig 2) revealed large bowel obstruction with
fecal impaction in recto-sigmoid colon. Linear tubular soft tissue density are
suggestive of worms (ascaris).
3. Diagnosis: (1) Loeffler syndrome. (2) Massive ascariasis with partial GI
obstruction
