Diagnosis of the nature of hepatic focal lesion is essential for making a proper management decision. hepatic tumors differ in their tissue composition and thus in the degree of tumor stiffness accordingly tumor stiffness measurement can help in detection of the nature of hepatic focal lesion Aim of work: Evaluate the role of ultrasonic transient elastography (fibroscan) in assessment of hepatic tumor stiffness so that it can be used as a potential diagnostic modality in detection of HCC from other focal lesion.Patients and methods: Our study included 34 patients with different types of hepatic focal lesions (26 with HCC, 4 patients with lymphoma, 3 patients with metastasis and one patient with sarcoidosis ) for them routine investigations, ultrasound and liver stiffness measurement using fibroscan were done. Results: 1- The median stiffness for the HCC f was 72.5 kPa , for lymphoma was 17.2 kPa , for metastasis was 6.5 kPa and sarcoidosis was 10.5 kPa 2- Fibroscan is a sensitive tool in detection of nature of the focal hepatic lesion based on the difference in tissue stiffness