Unusual presentation of bone metastasis from hepatocellular carcinoma mimicking as breast lump

A 55-year female presented with left breast lump. Her sonomammography was unremarkable. Core biopsy showed it to be metastatic hepatocellular carcinoma [HCC]. Biphasic computerized tomography [CT] of liver confirmed presence of primary liver masses while CT chest showed involvement of left anterior chest wall, rather than primary breast mass. F18-Fluorodeoxyglucose [FDG] positron emission tomography CT [PET-CT] imaging confirmed primary liver tumor with bony metastases