This case shows typical imaging features of a liver abscess that was misinterpreted on the first CT scan due to misleading clinical information and therefore, ended having an MRI with Primovist. The fact that the abscess encases a central vessel was interpreted as a possible FNH on the patient's portal venous CT. With the clinical picture of subacute RUQ pain and fevers, abscess easily comes into consideration. MRI features are characteristic for an abscess.