It is essential to become comfortable with the typic and atypical appearances of fatty liver, which can include geographic and nodular appearance that overlap with infiltrative HCC or cholangiocarcinoma. In this case, there is profound steatosis on CT (HU -4 on noncontrast images), but in a pattern that makes the normal liver tissue look like tumor at first glance. All series support normal sequential enhancement of this liver tissue (without washout or heterogeneity apart from the staetosis), and there is no vascular narrowing, tumor thrombus or ascites. These combined CT/MRI imaging findings allow you to confidently make the diagnosis of nodular/geographic steatosis without further evaluation.