Authors analysed chest X-ray findings in 36 cases of proven pulmonary paragonimiasis which sputum smears were positive for ova of Paragonimus Westermani from October 1978 to January 1987 at Chonbuk National University Hospital PMC and Korean Institute of tuberculosis. The results are as follows: 1. Roentgenographic findings are cyst formation pulmonary infiltration fibrosis pleural thickening pleural effu-sion and pneumothorax. 2, The characteristic cystic shadows were observed in 19 cases (58%) They were multiple aggregated cysts surrounded with pericystic haziness and ranged in size from 1cm to 4cm in diameter. 3. Pulmonary infiltrations showed multiple variable ill defined area of consolidation predominantly in periphery of mid and lower lung field which has migratory tendency. 4. Distributions of pulmonary lesions were bilateral (72%) mid lung fields (56%) and there were tendency of peripheral lung predominence. 5. 4 cases(11%) showed normal chest X-ray findings.