 Good evening, everyone. Today I am going to talk about Hepatocellular Casinoma in disguise of giant hepatic hemangioma. Radiological imaging plays a crucial role in diagnosis of Hepatocellular Casinoma. Hepatocellular Casinoma is usually diagnosed by dynamic contrast CT or MIR imaging, showing typical contrast enhancement pattern in arterial phase and rapid washout in portovenous phase. However, there are a number of focal benign level lesions that often mimic the appearance of HCC. These mimickers include non-tumerous arterial portal shunts, fast-filling hemangiomas, focal fat sparing, slash deposits, inflammatory lesions, confluent fibrosis, angioma lipooma, focal nodular hypoplasia, like nodules, and hereditary hemorrhagic telenjectasia. Hepatic hemangioma is a common benign lesion of the liver and commonly found in females. The radiological features of both hemangioma and HCC can resemble similar often resulting in difficulty of differential diagnosis between the two and can cause preoperative definitive diagnosis or challenge. Herein we report a case of Hepatocellular Casinoma mimicking as giant hepatic hemangioma on ultrasound of abdomen and CT scan. Case report, a 70-year-old female presented to hospital with complaints of abdominal pain in the right upper quadrant since five to six months. The pain was intermittent and radiating in nature. She gave positive history of nausea, vomiting, with hardening and darts change tools. Prior to referred to her hospital, her ultrasound report suggested benign lesion possible of giant hepatic hemangioma. She was referred to her hospital and underwent clinical examination, lab investigations, and CT of the abdomen. Her LFT showed serum bilirubin was slightly raised. Serum albumin and total protein were little lower than normal. Serum HGPT was raised. Serum alkaline phosphatase was raised. CT of abdomen showed a large 16.1 into 12.5 into 20.2 centimeter size. It defined multilobylated, smooth-marginated, heterogeneously attenuating lesion with few hypodense areas within, in the right lobe of liver. The lesion showed heterogeneous enhancement of post-contrast study with enhancement of the lesion, matching the blood pool and all the phases of contrast study. Immediately the lesion was seen compressing the intra-epatic IVC. Antiretally, the lesion was seen aborting the anti-abdominal wall. Infirmedly, the lesion was seen aborting the gallbladder with near-maintained fattening between. The lesion was also seen displacing the bowel loops inferiorly. There was no evidence of calcification associated cirrhosis or infiltration into the surrounding structures. So, possibility of giant hepatic hemangioma was considered. A 5.7 mm size defect was also seen in the umbilical region through which momentum was seen protruding out. It was suggested by umbilical honey and a cyst was also seen in the upper pool of the left kidney. Infused and sub-centimeter size cysts were also noted involving the right kidney. This is the picture depicting hepatic lesion in the thin-plane study. This is in the arterial phase. It shows a well-defined lesion with no early wash-in or early wash-out. As seen in the venous phase, there is no wash-out early. This is the thin-delayed phase. So, impression was given as possibility of giant hepatic hemangioma needs to be considered. And umbilical hernia with bilateral venous cysts. So, surgical intervention of right hepatic tummy was performed. Histopath, it was given for histopathological correlation. Specimen receipt was right to protect tummy with gallbladder. Specimen showed, cut surface of the liver showed multiple nodules of varying size, almost entirely replacing the liver pancrema. The masses were solid for yellow, light tan to pale green colour. Histologically malignant cells were arranged in solid pseudo-glandular, macro-travicular and trabicular pattern. Three multi-nuclear tumour cells were also noted, but it was confined to the liver. So, our diagnosis of moderately differentiated grade-2 hepatocellular carcinoma was given. Pathology stage P2N, Pt2N. The tumour cells were also seen infiltrating into the seros of gallbladder. The diagnosis of HCC is generally made by radiological harm acts of dynamic contrast images. A large number of HCCs may have a typical radiological contrast enhancement pattern due to tumour necrosis, fibrosis, fatty change, calcification, pelletoid change, pelliotic change or portal vein thrombosis. HCCs with typical or typical radiological characteristics would mimic other benign hepatic masses, especially giant hepatic hemangioma. Several cases and research study have provided evidence of hepatocellular carcinoma, misdiagnosis of hepatic hemangiomas. So, what is the conclusion that it should be kept in mind that some tumours like hepatocellular carcinoma could mimic giant hepatic hemangioma in imaging scans. Therefore, needle liver biopsy may be essential for correct diagnosis in case of doubts or discrepancy in imaging scans. Thank you.