Hepatic surface enhancement on CT can represent particular clinical significance in various abdominal conditions, at times being the only abnormality found. Detecting hepatic surface enhancement, together with the other ancillary diagnostic techniques as well, may lead to grasp of the underlying condition and to early or timely diagnosis and treatment of abdominal disorders. This manuscript describes the spectrum of hepatic surface enhancement on CT, and the importance of focusing on the hepatic surface during interpretation is emphasized.