<prompt> All are true about amoebic liver abscess except?Sterile pusAmoebae reach the right lobe left lobeIntercostal tendernessHepatocellular jaundice  <response>: Ans. d Hepatocellular jaundiceRef:Manipal manual of surgery ,4th ed.520 The anchovy sauce pus of ameobic liver abscess is sterile and is produced due to broken RBCs and damaged hepatocytes. Due to right branch of portal vein being more in line with portal vein the organism will have higher chances of seeding in the right lobe than the left lobe. Most patients will be male and alcoholic from lower socio-economic background and will present with severe right hypochondrium pain and symptoms of pleurisy and right shoulder pain. On examination intercostal tenderness is seen Bed side USG is the investigation of choice. Jaundice is not seen usually or if seen is of obstructive type. 