A 92-year-old female with past medical history of hypertension presented to the emergency department with one week onset of pain in her right shoulder, right flank, and right upper quadrant of her abdomen. The patient’s initial presentation was consistent with a cholestatic pattern of gallbladder disease; however, further evaluation via point-of-care ultrasound (POCUS) of hepatobiliary structures revealed multiple large abscesses within the liver parenchyma ( & ). Computed tomography (CT) was obtained prior to labs due to concerning physical exam, which revealed large septated fluid collection in the right hepatic lobe most consistent with a large hepatic abscess and an additional fluid collection in the left hepatic lobe also consistent with hepatic abscess ().