Differentiation from liver metastases: The patient had no history of other malignancies; AFP was within the normal range but HBsAg was positive; CT showed lesions localized to the right hepatic lobe with PVTT—findings consistent with HBV-related HCC; Differentiation from hepatic hemangioma: Hemangiomas exhibit “early peripheral enhancement and delayed centripetal filling” on dynamic contrast imaging, whereas the lesions in this case showed arterial-phase enhancement, venous-phase washout, and associated PVTT, ruling out hemangioma. Here, AFP is linked to hemangioma.