SUMMARY Primary hepatic lymphoma is a rare manifestation of lymphoma. Clinical diagnosis of the disease could be delayed and complicated since it may mimic acute hepatitis. The radiologic findings of pri-mary hepatic lymphoma may be similar to those of acute paren-chymal liver disease although aggressive progression of the dis-ease is usually observed on follow-up imaging. Therefore, primary hepatic lymphoma should be included in the differential diagnosis of acute hepatopathy that demonstrates a severe and aggressive course. Liver biopsy should be considered to confirm its diagnosis. Conflicts of Interest The authors have no conflicts to disclose. REFERENCES 1. Santos ES, Raez LE, Salvatierra J, Morgensztern D, Shanmugan N, Neff GW. Primary hepatic non-Hodgkin’s lymphomas: case report and review of the literature. Am J Gastroenterol 2003;98:2789-2793.2. Jaffe ES. The 2008 WHO classification of lymphomas: implications for clinical practice and translational research. Hematology Am Soc Hematol Educ Program 2009:523-531.3. Castroagudin JF, Gonzalez-Quintela A, Fraga M, Forteza J, Barrio E. Presentation of T-cell-rich B-cell lymphoma mimicking acute hepati-tis. Hepatogastroenterology 1999;46:1710-1713.4. Harris AC, Kornstein MJ. Malignant lymphoma imitating hepatitis. Cancer 1993;71:2639-2646.5. Kang KM, Chung WC, Lee KM, Hur SE, Nah JM, Kim GH, et al. A case of primary hepatic lymphoma mimicking hepatitis. Korean J Hepatol 2005;11:284-288.6. Tchelepi H, Ralls PW, Radin R, Grant E. Sonography of diffuse liver disease. J Ultrasound Med 2002;21:1023-1032; quiz 1033-1034.7. Suk KT, Kim CH, Baik SK, Kim MY, Park DH, Kim KH, et al. Gallblad-der wall thickening in patients with acute hepatitis. J Clin Ultra-sound 2009;37:144-148