History (HX): A 32 year old man with history of hip sarcoma   .

Findings: Severe signal loss of liver parenchyma on T1-opposed-phase images comparing with T1-in-phase images                     

Diagnostic (DX): Diffuse hepatic steatosis  

Discussion: Chemical shift MRI can be used for detection of hepatic steatosis. Loss of signal on opposed-phase GRE images when compared with a corresponding in-phase GRE images: using the spleen as an internal reference