Hepatic malignant tumor is suspect in an alcoholic who shows progressive physical deterioration and poor response to medical therapy. Cirrhosis serves as a substrate for approximately 75 per cent of hepatocellular carcinoma (1). There are no reliable signs or symptoms or liver function studies, however, which differentiate cirrhosis with acute “alcoholic hepatitis” from hepatoma or metastatic carcinoma. Liver scan may show an abnormal pattern suggestive of nodular lesions of varying size in cirrhosis, neoplasm, or hepatitis (2, 3). Angiography has been extensively employed in the differential diagnosis of hepatic disease (4). The findings in acute “alcoholic hepatitis,” however, have not been emphasized. In over 200 selective celiac arteriograms at the Boston City Hospital in the past several years, 4 cases of florid “alcoholic hepatitis” have been studied. The findings were similar in all instances and form the substance of this report. Case Reports Case I: E. F., a 54-year-old white female, was admitted...