Clinical history: This 84-year-old male was admitted to the hospital with anorexia, dysphagia and epigastric pain with weight loss over 30 lbs. The past medical history was significant for status post CABG, recent left thalamic CVA, diabetes mellitus, chronic renal failure and status post-cholecystectomy. A CT scan of the abdomen showed multiple neoplastic liver lesions. The patient’s liver enzymes were increased with an obstructive pattern. His health status was progressively worsening and he deceased. A restricted autopsy (abdomen only) was performed to delineates the origin of the neoplastic process of the liver.