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Pulmonary cysts may occasionally invade bronchi or pleura as a result of coughing, trauma, or elevated intra\u2010abdominal pressure. We present the case of a patient evaluated for non\u2010resolving pneumonia whose radiographic and bronchoscopic findings were strikingly similar to those seen in pulmonary tuberculosis with endobronchial invasion; he was ultimately diagnosed with pulmonary echinococcosis. This case underscores the importance of considering unusual diagnoses even when typical features of more common conditions are present. 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