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A 34-year-old Tibetan man presented with a 4-month history of progressive chest pain and dyspnoea. On direct questioning, his diet consisted of eating raw beef. On examination, there were no breath sounds auscultated on the right. Chest X-ray and CT revealed a giant cystic lesion occupying the right hemithorax (figure 1). There were no other cysts shown on the brain and abdominal CT scans. The serological haemagglutination test for echinococcosis was positive.
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