A 24-year-old man was investigated for dyspnea and swelling of the right side of the neck with pain in the right shoulder, which had developed over the previous year. Hydatid cyst of the right first rib was diagnosed by chest radiography and computed tomography. Serology for hydatid disease was negative. The cysts and the first rib were excised via a right thoracotomy. The postoperative course was uneventful. Histology revealed multilocular echinococcal lesions.
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