Pulmonary hydatid disease continues to haunt clinicians for diagnosis as well as management. We conducted present study in Infectious Diseases Department of Sher-i-Kashmir Institute of Medical Sciences Kashmir for three years. We diagnosed 22 cases of pulmonary hydatid disease by clinical presentation serology and CT chest. 92% had solitary pulmonary cyst 3% had bilateral lung cysts and 5% had multiple organ involvement. CT scan was appropriate modality of diagnosis and surgery was the effective line of management. Patients were followed for varying intervals for recurrences which were documented in none.