Hydatid disease (HD) may develop in almost any part of the body. The liver
is the most frequently involved organ (75 %), followed by the lung (15 %) a
nd the remainder of the body (10%). Hydatid cysts with unusual localization
s may cause serious problems in the differential diagnosis. In this article
the various imaging findings of hydatid cysts with unusual localizations a
re reviewed, based on our experience. Findings in brain, heart, pericard, k
idney, intraperitoneum, retroperitoneum, bone, soft tissue, and breast are
discussed. Hydatid disease should be considered in the differential diagnos
is of cystic masses in all anatomic locations, especially when they occur i
n areas where the disease is endemic. The combination of clinical history,
imaging findings, and serologic test results usually help the diagnosis.