Actually I'm not convinced that its in fact photo-shopped. But I also don't think this one is paranormal, but rather just bad photography.
I took the image and enhanced the dark areas, and it just looks like reflection on her face, a dark complection, poorly lit left side of room and a blurry image to begin with. That coupled with matted photographic paper just ends up making for a very distorted image. If you zoom in, and brighten it up you can see its just someone's face with lots of distortions.