The lungs are the second most commonly affected sites for hydatid cysts after the liver. They may be single or multiple appearing as round-oval lesions. They may erode the bronchus and the resulting air may lead to the appearance of a crescent sign on Xray. They may either be asymptomatic or present with symptoms of dyspnea or cough. Occasionally the patient may cough out whitish material containing the cyst contents if a cyst ruptures into the airways. Cyst rupture is also associated with anaphylaxis. Treatment is largely surgical with the aim of preserving as much viable lung tissue as possible. Image via: https://www.intechopen.com/books/current-topics-in-echinococcosis/radiological-characteristics-of-pulmonary-hydatid-cysts