Osteofibrous dysplasia-like adamantinoma is a rare, intermediate grade primary bone tumour of unknown aetiology, which typically involve mid-tibia diaphyseal region. We present a case which was initially suspected as metastasis as patient had underlying colonic cancer. Biopsy was taken twice for confirmatory diagnosis. Patient had an atypical imaging presentation of OFD-like adamantinoma, as the age of the patient and radiographical presentation were more of a classic adamantinoma. The ability to recognize the pattern and distribution and keeping it as a differential is important. MRI findings would be non-specific, but useful in term of locoregional staging. Even though histopathological examination provides definite diagnosis, it may sometimes yield false negative. Bone scan can be useful in detecting primary and metastatic osteoblastic bone tumour. Imaging findings and its closest differentials were discussed.

Hepatic encephalopathy is a neuropsychiatric spectrum, mainly caused by cirrhosis, portosystemic shunt, or portal hypertension. It is associated with poor survival and high recurrence rate without prompt initiation of adequate treatment. MRI can detect the extent of brain parenchymal injury and correlation to the patients’ clinical status is the utmost importance. Here we report a case of 42 years old man with underlying hepatitis C, with atypical presentation of parkinsonism in a classic MRI imaging findings of acute on chronic hepatic encephalopathy.