Resumen Las lesiones focales hepáticas constituyen un constante desafío diagnóstico y su hallazgo en los exámenes por imágenes es muy frecuente, no siempre en relación al contexto clínico inicial. Presentamos un caso de peliosis hepática en una mujer sana en control médico preventivo   Abstract Hepatic focal lesions constitute a constant challenging diagnosis for the medical team. Diagnostic imaging methods are consulted more frequently, and radiological findings are not always related to the initial context in which they were asked for. We report a previously healthy woman in annual medical control.