Kaposi sarcoma is an undisputed malignancy associated with a heightened relative risk after transplantation. Similar to other causes of Kaposi's sarcoma, cutaneous involvement is typical in post-transplant patients
however, visceral involvement rarely occurs. We report a rare case of de novo hepatic Kaposi's sarcoma manifesting as an ill-defined infiltrative lesion in the left lobe of the liver in a patient who was immunosuppressed for 9 months after a kidney transplantation using ultrasonography, CT, MRI, and fluorodeoxyglucose-PET.