In chronic passive congestion of the liver (e.g., right-sided heart failure), what is the classic gross appearance often described by pathologists?
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Correct answer: Nutmeg liver with mottled centrilobular zones
Chronic passive congestion causes centrilobular congestion and hemorrhage; on gross exam the liver shows mottled red-brown centrilobular zones against tan lobular tissue — the so-called “nutmeg liver.”
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