Patient presents with suspected liver metastases.  Clinical presentation includes (patient-specific symptoms e.g., abdominal pain, right upper quadrant discomfort, fatigue, weight loss, jaundice, hepatomegaly).  Relevant medical history includes (primary cancer diagnosis e.g., colorectal cancer, breast cancer, lung cancer) diagnosed on (date).  Physical examination reveals (relevant findings e.g., palpable liver mass, ascites).  Laboratory findings show (relevant abnormalities e.g., elevated liver function tests, elevated tumor markers such as CEA, CA 19-9, AFP).  Imaging studies including (CT abdomen, MRI abdomen, PET scan) demonstrate multiple hepatic lesions consistent with metastatic disease.  Diagnosis of liver metastases secondary to (primary cancer) is confirmed.  The patient was counseled on prognosis and treatment options, including (systemic chemotherapy, targeted therapy, immunotherapy, hepatic arterial infusion therapy, radioembolization, surgical resection if applicable, palliative care).  Treatment plan will be individualized based on the patient's performance status, extent of disease, and primary tumor type.  Referral to (oncology, hepatology, palliative care, surgery) is made.  Follow-up scheduled in ( timeframe) to monitor treatment response and manage potential complications such as liver failure, portal hypertension, and ascites.