A 53-year-old diabetic male presented with complaints of right-sided hearing loss for the past 4 days. The patient also had an abrupt onset of numbness, weakness, and tingling sensations on the right side of the face and developed a loss of taste sensation. The patient’s medical history was remarkable for chronic hepatitis C infection and was treated for it. Magnetic resonance imaging of the brain and computed tomography (CT) scans revealed an extra-axial lesion involving the right petrous apex, the clivus, extending along the Meckel’s cave, indenting the temporal lobe []. The lesion showed heterogeneous enhancement [] and bony erosion []. A right temporal craniotomy and biopsy was performed. Intraoperatively, the lesion was firmly attached along the petrous temporal bone. Histology sections examined revealed features of metastatic carcinoma, likely of primary hepatocellular origin []. CT of the abdomen confirmed HCC []. The patient opted for chemotherapeutic palliation with sorafenib. However, after 4 months of treatment, he succumbed to his illness.