男性，42岁。寒战、发热5天，右季肋部疼痛2天，疼痛于深呼吸及咳嗽时加重。查体：巩膜轻度黄染，肝肋下2cm，Murphy征阴性， 肝区叩击痛阳性。胸部X线片：右侧膈肌抬高，肋脊角消失。肝脏B超：肝右叶可见 6Cmx5cm低回声区，边界欠清晰，中心有液性暗区。首先考虑的诊断是

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