This elderly patient presented with upper GI bleeding from ruptured esophageal varices. Blank medical history, "never went to the doctor". Imaging shows hemochromatosis and cirrhosis of the liver, as well as several liver masses and nodules. There is also portal vein thrombosis with extensive involvement of intrahepatic branches in the right lobe. Biopsy of the largest mass revealed hepatocellular carcinoma (HCC). There is extensive literature linking hemochromatosis to liver cirrhosis and also HCC.