71 y.o. man with prostate carcinoma and chronic HBV infection. Sonographically, steatosis hepatis with multiple mildly hypoechogenic hepatic lesions with a hyperechogenic rim (“hyperechoic halo “). Contrast enhanced ultrasound to exclude malignancy: all hepatic lesions are isoenhanced compared to the surroundig liver parenchym in all contrast phases. Clinically the patient blistering showed skin lesions in sun exposed  areas.

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