Almeida J et al. - Percutaneous ethanol injection (PEI) is an option for hepatocellular carcinoma (HCC) treatment that is most effective for solitary lesions 5 cm or multiple lesions 3 cm. Malignant seeding along the needle tract is a rare complication of the procedure. We report a case of tumor seeding along the needle tract following PEI treatment for HCC arising 21 months after treatment