A 25-year-old female patient presented with a two-month history of vague upper abdominal pain, jaundice and weight loss. Her general physical examination revealed icterus, and mild hepatomegaly was observed on per abdominal examination. Ultrasound of the abdomen was advised which showed a well-defined rounded hypoechoic mass involving the left lobe of the liver with a central stellate echogenic scar (Figure 1A). The lesion showed evidence of internal vascularity on Color Doppler (Figure 1B). There was evidence of another small rounded hypoechoic lesion at the porta with dilatation of intrahepatic biliary radicals with blocked confluence of the right and left hepatic ducts (Figure 1C). Plain and triple-phase contrast-enhanced computed tomography of the abdomen was advised which showed a well-defined isodense mass in the left lobe of the liver with no calcification and with central stellate hypodensity (Figure 2), showing enhancement in the arterial phase (Figure 3A, 3B). The tumor was isodense to liver in the portal venous phase with a central non-enhancing stellate scar (Figure 4A, 4B). There was evidence of a partial washout in the equilibrium phase with a part of the scar showing enhancement (Figure 5). Additionally, T2-weighted Magnetic Resonance Imaging of the abdomen was performed (to search for signal intensity of the scar), which showed an isointense lesion with a central hypointense stellate scar (Figure 6). The diagnosis of fibrolamellar hepatocellular carcinoma was made based on pathognomonic features on imaging. Preoperative PTBD (percutaneous transhepatic biliary drainage) was carried out in this patient to relieve obstructive jaundice and hepatic derangement before surgery. The patient was advised to undergo surgery after 2 weeks. However, the patient did not turn up later on.