
Figure 1
Chest x-ray of a 10-year-old patient presenting with respiratory distress, productive cough, and pleuritic chest pain shows complete opacification of the left lung and multiple round opacities in the right middle and lower lung fields.

Figure 2
Axial and sagittal CT scan shows multiple round, cystic lesions, interspersed by atelectatic lung parenchyma on the right and fewer cystic lesions in the left lung with a residual moderate amount of aerated lung. There was one complicated cyst in the left upper lobe (Figure. 2A, asterisk). The liver shows no involvement.

Figure 3
Peroperative photographs shows echinococcus cysts with several layers.

Figure 4
Follow-up frontal and lateral radiographs two weeks later showed interval decrease of the parenchymal hydatid cysts, especially on the left side.

Figure 5
Coronal T2- and T1-weighted images of the chest demonstrate innumerable unilocular cysts with simple fluid content. One cyst in the left upper lobe (asterisk) has a more complex architecture and contains collapsed parasitic membranes.
