<prompt> Ramu, 40 year old male, chronic alcoholic, diagnosed as cirrhosis, presents with a lump in the right lobe of liver. Serum AFP level is normal. Most probable diagnosis is -FibrohyperplasiaHepatocellular carcinomaSecondariesHepatocellular adenoma  <response>: This is a typical presentation of hepatocellular carcinoma age, cirrhosis, presence of lump, all perfectly match. The only problem is that AFP is not elevated. This should not prevent us from making a diagnosis of HCC as Schwartz writes-It must be kept in mind that only 60 to 75 of HCCs produce AFP; therefore, a normal serum AFP level does not rule out HCC.Hepatocellular adenoma and focal nodular hyperplasia I could not find any term as Fibrohyperplasia are seen in women of reproductive age gp. They are associated with OCPs. 