In India, majority present with palpable mass and/or hepatomegaly followed by pain abdomen, fever and jaundice and on examination majority have mass abdomen with hepatomegaly, splenomegaly icterus and ascites. By clinical examination a definitive diagnosis of Hydatid cyst cannot be achieved. This prospective study consisted of proven clinical cases of hydatid cyst of liver admitted during the study period. Totally 30 cases were included in the study. Detailed clinical history with regards to age, sex, socioeconomic status, occupation, contact with dog, past H/O of surgery and medical illnesses, clinical symptoms were taken and patient subjected to clinical examination for making a provisional clinical diagnosis. Hepatomegaly in 29 cases was the commonest sign. Predominantly as mass in right hypochondrium (5), mass in epigastrium (10) cases and as such hepatomegaly in 14 cases. Associated medical illness were also seen. They were 2 patients had hypertension, one patient had portal hypertension, systemic hypertension, diabetes and left lower lobe pulmonary hydatid, I patient had pulmonary Kochs and I patient had B/L bronchiectasis, 2 patients had CCF.