The patient is a 58 year old male who presented to the Emergency Department with chronic lower back and right leg pain after a recent fall.  He was diagnosed with a compression fracture of the L3 vertebra and was subsequently discharged to a rehabilitation facility. He again presented to the Emergency Department with worsening pain. A chest CT scan was ordered after he had episodes of hemoptysis and showed multiple ill-defined, ground glass lung lesions and multiple nodular liver lesions, the largest of which was 19 cm in the right hepatic lobe. His liver functions tests were also found to be abnormal. A CT-guided biopsy of the right hepatic lobe mass was then performed. However, the patient’s clinical status started to deteriorate at this point. His hemoptysis continued and was showing clinical and radiologic signs of a hospital acquired infection. He was eventually transferred to the Intensive Care Unit (ICU) for management of sepsis. The liver biopsy was finalized with a diagnosis of angiosarcoma. After meeting with the healthcare team, the patient’s family decided not to pursue aggressive treatment options. Shortly thereafter, the patient expired.