DOI: 10.36347/sjmcr.2021.v09i05.034

Pages: 587-590

Fatty infiltration of liver is a common metabolic abnormality; which usually follows a diffuse pattern. However; in very rare cases; it may present as multiple focal hepatic lesions which may be mistaken for hepatic metastases on imaging. An accurate diagnosis is therefore vital for predicting prognosis and subsequently appropriate treatment. In this case report we are presenting a case of a young adult female patient who presented to our institution with the clinical complaint of pain in abdomen. She had past history of renal transplant for chronic kidney disease followed by intake of oral glucocorticoids for over 2 years. She was eventually investigated with various imaging modalities including ultrasound scan of abdomen as well as MRI scan of abdomen. Based on the imaging findings; a diagnosis of multifocal nodular hepatic steatosis was given.