Complete resection of colorectal cancer liver metastases increases survival and is a recommended therapeutic option. Thus accurate detection of liver metastases is crucial. Many patients receive preoperative chemotherapy which often causes hepatic steatosis and decreases sensitivity of CT in detecting liver metastases. This prospective study with histopathological correlation compared the diagnostic performance of gadoxetic acid Liver MRI in the preoperative detection of liver metastases following chemotherapy including the influence of hepatic steatosis and lesion size. We also evaluated the potential change in the hepatic resection plan due to inclusion of gadoxetic acid MRI compared to CT.