Background: Liver abscesses, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. In recent years, imaging guided percutaneous drainage has been increasingly used to treat liver abscess of large size with viscous pus with reported success rates. Our study consists of clinical study (prospective study) of 40 cases of radiologically proven liver abscess and their management by different modalities and their outcome.