Three cases of hydatid disease are reported, all presenting as soft ti
ssue lesions in the lower extremities. All three cases were studied wi
th ultrasound (US), two with computed tomography (CT), and two with ma
gnetic resonance (MR) imaging techniques. Two patients presented with
multivesicular lesions which were considered diagnostic of hydatid dis
ease. The third patient showed a lesion with a predominantly solid pat
tern, closely mimicking a soft-tissue neoplasm. US was not diagnostic,
but MR outlined vesicular structures and a fibrous pericyst. Hydatid
disease presenting in the soft tissues can therefore be diagnosed with
confidence when it shows multivesicular lesions but MR may be the mos
t useful imaging technique when a complex or solid pattern is present.