This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hepatic Tumors, Cysts, and Abscesses, Subject name: Surgery
All are true about amoebic liver abscess except? 
Select and explain. 
A. Sterile pus, B. Amoebae reach the right lobe > left lobe, C. Intercostal tenderness, D. Hepatocellular jaundice
D: Hepatocellular jaundice
Answer: D: Hepatocellular jaundice 
Explanation: 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.