Concomitant involvement of liver and lung both by hydatid disease has been termed Hepatopulmonary hydatidosis (HPH disease). It has preponderance for right lung with HPH disease associated with left lung rarely been reported. Here we present such a case in 50-year old women. Introduction Hepatopulmonary hydatidosis is a rare condition that is seen in only 10% of all cases of Hydatid disease 1. Further the condition has a preponderance for the right lung with Hepatopulmonary hydatidosis associated with left lung disease rarely been reported. Here we present such a case in a 50-year-old female patient. Case Report A 50-year-old female patient was referred to us with complaints of chest pain and cough with expectoration of two years' duration. She had taken antibiotics and antitubercular drugs in the past without any clinical improvement. She was non-smoker and nonalcoholic and had no history of diabetes and hypertension. Her family history was also not significant. Her general physical examination revealed pallor and weakness. Her hemoglobin was 10gram percent, total leukocyte count was 11,600 cells/mL, differential count was P71, L19, M2, E8, B0 and E.S.R. (Westergreen) was 80mm/ hour. Her Chest X-ray(fig-1) revealed obliterated right costophrenic angle with slight haziness in left lower zone.
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