“…These include fever, chills, nonspecific gas trointestinal symptoms, and tender hepato megaly [11,34,45,46], In elderly patients, the presence of these clinical signs in the set ting of previous biliary or other intraabdom inal infections should lead to the consider ation of pyogenic liver abscess. Ultrasonogra phy, radionuclide liver scanning, or com puted tomography (CT) are helpful in the diagnosis of liver abscess [11].…”