Hydatid cyst embolization to the pulmonary artery: CT and MR features

Hydatid cyst embolization to the pulmonary arteries is rare especially in the Western regions of the world. However, it can be mistaken for pulmonary embolism based on the similar clinical manifestations of cough, hemoptysis, and acute onset of chest pain. We report a case of a 32-year-old man presenting with these symptoms who was initially suspected of having pulmonary embolism. Subsequent imaging with CT and MR revealed hepatic hydatid cyst embolization to the pulmonary arteries. The significance of this case lies in the recognition of the unique radiologic features of pulmonary hydatid cyst embolization on CT and MR imaging to differentiate this entity from bland pulmonary thromboembolic disease.