Asymptomatic pulmonary hydatid abutting pleura

We report the case of a 23-year-old patient who presented with a perineal abscess who had no pulmonary complaints in whom the chest radiograph revealed a solitary well-defined round lesion with smooth margins in the right upper zone. Contrast-enhanced computed tomography (CECT) of the chest revealed it to be a cystic lesion in the right upper lobe abutting the pleura. Fine needle aspiration cytology (FNAC) from the lesion confirmed the diagnosis of hydatid cyst. The patient opted for medical management with oral albendazole, and responded well to the treatment. There were no recurrences at one year follow-up.