eng Science and Education Publishing American Journal of Medical Case Reports 2014-12-22 2 12 303 305 10.12691/ajmcr-2-12-11 AJMCR201421211 article Synrang Batngen Warjri 1 Tony Ete tetepete@gmail.com 1 Taso Beyong 1 Bhupen Barman 1 Kyrshanlang G Lynrah 1 Hage Nobin 1 Neel Kanth Issar 1 Department of Medicine, North Eastern Indira Gandhi Regional Institue of Health and Medical Sciences, Shillong, India Hepatic tuberculosis is a rare form of tuberculosis with non specific signs and symptoms which requires a high index of suspicion to reach a diagnosis. Usually has three forms of presentation in the form of miliary tuberculosis with liver involvement, granulomatous hepatitis and local hepatic tuberculosis. Usually requires guided tissue sample with histopathological examination for diagnosis. Here we are reporting a case of hepatic tuberculosis with multiple hepatic nodules who presented with fever and non specific symptoms and treated with anti-tubercular drugs followed by resolve of signs and symptoms. http://pubs.sciepub.com/ajmcr/2/12/11/ajmcr-2-12-11.pdf hepatic hypoechoic lesions hepatic tuberculosis antitubercular therapy