<prompt> All are true about amoebic liver abscess ExceptMetronidazole is mainstay of treatmentMultifocal abscess can not be treated by aspiratioMore common in left sideMore common in female  <response>: In 70 of cases it is a single large abscess, in 30 it is multiple, may involve both lobes. Problems and difficulties in treating, in addition to poor prognosis are more common in multiple abscesses. An amoebic liver abscess is more common in right posterior-superior region 80 because of streamline effect, i.e., the poal vein is in direct continuation with the right branch. It can be multiloculated also. ref: SRB;S manual of surgery, ed 3, pg no 529 