Hydatid disease is an endemic parasitic disease and can occur anywhere in the body and has a variable presentation. On imaging, the lesions have varied appearance ranging from cystic to solid appearing lesions, solitary to multiples. We present a case of 35-year-old female who underwent decompression craniectomy for right temporoparietal hemorrhagic venous infarct and now presented with acute onset of right-sided weakness. Magnetic resonance imaging was suggestive of cerebral hydatid disease. The presented case emphasizes that hydatid cyst should be considered as a possibility whenever a cystic lesion is encountered during imaging.
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