Interesting Chest Xray (2)

WTH? This was the first thing I said (silently) when I saw this Xray. I guess you'd say something like that too. Bad Xray. Massive involvement of both lungs. Can't even outline the heart border.

This is an Xray of an 11 year-old boy, who presented with 4-month history of coughing, with intermittent fever and generalized lethargy. He has been in contact with his neighbour, who's an IV drug