This is a correlation of images of liver metastases among CT, scintigraphy, and ultrasound. CT shows hypodense liver due to steatosis, the metastases have the same density as the parenchyma. What makes them recognizable is their round hyperdense rim. The metastases are, however, more conspicuous on ultrasound, where the liver parenchyma is hyperechoic due to steatosis and the metastases are hypoechoic. This appearance should not be mistaken for cysts - unlike cysts, metastases show no distal enhancement. Scintigraphy shows foci of accumulation in the liver parenchyma.