Right upper pain, fever, tender liver — amoebic abscess; anchovy-sauce pus; metronidazole. Amoebic liver abscess (Entamoeba — RUQ pain, fever, tender hepatomegaly: ultrasound — solitary right lobe; anchovy-sauce pus: metronidazole + diloxanide): pyogenic (multiple, biliary source — antibiotics + percutaneous drain). Portal hypertension (cirrhosis — varices, ascites, splenomegaly: band ligation + propranolol; TIPS for refractory). HCC (cirrhosis — AFP raised, arterial enhancement + washout on CT: resection if localized, transplant — Milan, TACE/sorafenib advanced; surveillance 6-monthly). The tender liver with fever is abscess — ultrasound first.