Imaging of concomitant pulmonary and hepatic hydatid cysts in a young Ethiopian farmer

A 30-year-old female farmer from South-West Shewa, Ethiopia, presented with chest and abdominal pain. Imaging revealed concomitant pulmonary and hepatic cystic echinococcosis, with calcified liver cysts showing the classic cerebral gyri sign. According to WHO guidelines, pulmonary surgery was advised, while hepatic cysts warranted observation. Serology was unavailable, and the patient was lost to follow-up. This case highlights imaging as a key diagnostic tool and the need for preventive education in endemic settings.