On MRI, steatohepatitis HCC typically shows intralesional fat content [4] Macro trabecular-massive HCC frequently develops in patients with hepatitis B virus (HBV) infection and is associated with a poor prognosis and an aggressive phenotype, including high serum alpha-fetoprotein (AFP) levels and pathologic features such as satellite nodules and vascular invasion [6]. Here, AFP is linked to hepatocellular carcinoma.