This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Liver, Subject name: Pathology
Nutmeg liver seen in - 
Select and explain. 
A. Alcoholic liver disease, B. Chronic venous congestion, C. Hepatoma, D. Secondary carcinoma deposits in liver
B: Chronic venous congestion
Answer: B: Chronic venous congestion 
Explanation: Ans. is 'b' i.e., Chronic venous congestion [Ref: Robbin's 9th/ep. 864}o The combination of hypoperfusion and retrograde congestion (Chronic passive congestion) acts synergistically to generate centrilobular hemorrhagic necrosis.o The liver takes on a variegated mottled appearance reflecting hemorrhage and necrosis in the centrilobular regions, know as nutmeg liver.