This case involves a forty-nine-year-old male patient admitted to the hospital for severe abdominal pain. A CT-abdomen done at this admission showed a poorly defined mass on the medial portion of the right hepatic lobe. The CT with contrast revealed several fluid collections near the liver and a possible abscess in the right lobe of the liver. Interventional radiology placed drains and infectious disease was consulted for medication options. The patient was reassured and told he only had gallstones and could be followed as an outpatient for an elective cholecystectomy. Approximately 5 months later, the patient again had severe abdominal pain and experienced a syncopal episode. He was again worked up for all possible causes and it is at this point a delayed diagnosis of metastatic carcinoma is revealed.