A triphasic liver scan was performed which demonstrates a protruding mass in IV and V segments of the liver with a possible infiltration of the gallbladder. In the arterial and portal venous phase, the lesion mimics a cavernous hemangioma. Ring enhancement is showed during the delayed phase consistent with hepatocellular carcinoma. The liver otherwise is unremarkable. No features of cirrhosis or portal hypertension are noted.