A case of inflammatory pseudotumour of the liver is described, the twelfth such case reported. Although these lesions are benign and self-limiting, they may encroach upon the biliary tree or portal vein and may be confused with true hepatic neoplasia. In the presence of single or multiple hepatic deposits seen on radiologic examination, a history of fever (or other systemic symptoms) and a negative fine needle aspiration biopsy should raise the possibility of inflammatory pseudotumour and prompt formal biopsy to guide further treatment.