stating the obvious
Well, there really isn't much to get. You can evidently tell the black trail of smears and footprints being left behind by this "wormthing", and though as hard it may seem due to the size of the pic you can tell by the look on her face that it isn't pretty. So it really must be a bad thing that happened.
The clouded effect gives it a dream-state look but its really grainy. I don't know the purpose of those white streaks, but I'm sure that confused some people a bit. Are there any effects or layer effects that can help with the grain?