Intracardiac hydatidosis is a rare but potentially fatal manifestation of Echinococcus granulosus infection. Left ventricular involvement is the most common cardiac site, but pericardial involvement is unusual. We report a rare case of a 45-year-old male with left ventricular and pericardial hydatidosis, who came to the department of radiodiagnosis of Moti Lal Nehru Medical College, Prayagraj for cardiac CT with coronary angiogram, with complaints of chest pain and exertional dyspnoea. Imaging revealed two multiloculated cystic lesions, one each in the left ventricular myocardium and pericardium, respectively.