Introduction: Hydatid disease(HD), caused by the parasitic infestation of Echinococcus granulosus, is endemic in India. While hepatic(59-75%) and pulmonary (27%) involvement is common, primary and secondary disseminated hydatid disease (PDHD, SDHD) present unique clinical and radiological features necessitating a comprehensive understanding for accurate diagnosis and management. SDHD, resulting from peritoneal implantation due to traumatic/ surgical rupture of the cyst is uncommon. PDHD accounting for 2% of intra-abdominal hydatidosis, is even rarer. Methods: A retrospective study of 45 patients from 1-12-2022 to 01-12-2023 at GMCH Jammu and SMVD Narayana Hospital, aimed to investigate the clinical and radiological features of HD across different organ systems. The study highlights the diverse clinical presentations and radiological findings associated with disseminated HD. These findings contribute to a better understanding of the diagnostic and management strategies for this condition. Results: Most common symptoms were abdominal lump and vague abdominal pain. Radiological imaging, primarily ultrasound and CT scans, facilitated diagnosis. SDHD was more common in females( male-to-female ratio of 1:2). Conclusion: Disseminated HD, although rare, warrants attention due to its potential multi-organs involvement. Early recognition and accurate radiological assessment are crucial for effective management. Further research is warranted for comprehensive understanding.