A 30-year-old woman was admitted to our hospital with a history of abdominal pain, anorexia, weight loss and fever for one month. On physical examination, except hepatomegaly, no other physical finding was detected. Liver function tests (ALT 64 U/l, AST 76 U/l) and alkaline phosphatase (ALP 310 U/l) were elevated. Chest x-ray was normal. Ultrasonography (US) of the abdomen revealed a lobulated cystic mass with air in the right lobe of the liver. Computerized tomography (CT) of the abdomen showed an ill-defined cystic mass with air-fluid level in the anterior segments of right liver lobe (fig. 1). Liver abscess or infected hydatid disease was considered with these radiologic and clinical findings. Liver wedge biopsy was performed during laparotomy. Histopathological examination of the specimen demonstrated granulomas, epithelioid histiocytes and Langhans giant cells, and caseating granulomatous inflammation. Hepatic tuberculosis was diagnosed based on these pathologic findings. Unfortunately we did not perform culture of the specimen for tuberculosis, because tuberculosis was not taken in account in the differential diagnosis. The patient was treated with anti-tuberculous drugs for one year. She recovered clinically and abdominal US was normal after one year.