A 30 year old female admitted for evaluation of left chest pain was su
spected to have multiple cardiac hydatid cysts. The diagnosis was esta
blished by cross sectional echocardiography and computed tomography, s
upported by enzyme linked immunosorbent assay (ELISA) for echinococcos
is. Medical therapy altered the echopattern of the cysts but failed to
reduce cystic masses. Surgery was advocated but refused by the patien
t.