Chest radiographic findings of 47 patients with pleuropulmonary paragonimiasis were analysed retrospectively.The diagnosis was based on the presence of Paragonimus Westernmani(PW) ova from sputum, bronchial washing orneedle aspirates (23 patients ), PW specific antibody test by micro-ELISA(22 patients ) and compliment fixationtest (3 patients). 85% of the patients (40/47) showed pulmonary lesion such as focal air space consolidation (24),thin walled cysts (21), transient linear density in early active stage (18), nodular density(12) and burrowtracts(7). CT scans of 6 patients showed worm cysts and burrow tracts clearly and were also helpful indifferentiating from lung cancer. 62% of the patients showed pleural lesion such as pleural effusion (17,bilateral in 4 patients), hydropneumothorax(8, bilateral in 6 paitents ) and pleural thickening(4). Thin walledcysts, migrating nature of the focal patchy pulmonary infiltration, transient linear shadow in the lung periphery,soap bubble appearenced cystic cavities, bilateral spontaneous penumothoraces are the typical findings ofpleuropulmonary paragonimiasis.