Drug Induced Atypical Multifocal Variant of Fatty Liver Disease Mimicking Metastatic Liver Disease

Fatty infiltration of the liver commonly occurs in a diffuse pattern. However, in very rare presentation in the form of multiple focal lesions of the liver, mimicking metastases do occur. Accurate diagnosis is important to differentiate this condition from metastatic liver disease and hepatobiliary infections. We report a patient who consumed long term herbal remedies, presenting with multifical liver lesions that mimicked metastatic disease and in whom, specialized imaging and a needle biopsy proved the cause to be due to multifocal fatty infiltration of the liver.