Snails (Elimia livescens) from a central Indiana stream were examined for encysted metacercariae of Macravestibulum obtusicaudum (Pronocephalide) to determine the distribution and abundance of this parasite on its second intermediate host. Five samples of snails were collected, with 2 samples being restricted to high-flow (riffle) or low-flow (pool) areas of the stream. Snails (n = 386) were measured for shell length; the shell and the inner and outer surfaces of the operculum (in most samples) were examined for metacercariae. Seventy-five percent of snails (overall) had encysted metacercariae (range, 52–97%), primarily on the opercula. A significantly lower proportion of snails from riffles were infected, and these snails had significantly fewer cysts as well. Snails collected from pools showed up to 10 times as many metacercariae than those from riffles, although there was no significant difference in the proportion of snails with intramolluscan infections of M. obtusicaudum. The inner opercular surface appeared to be the preferred site of encystment in both flow regimes. Differences in microhabitats, in terms of both snails in the stream and metacercariae on the snails, clearly must be considered when evaluating the infection patterns of this trematode.