This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Nutmeg liver is seen in - 
Select and explain. 
A. Right sided heart failure, B. Left sided heart failure, C. Increased pulmonary pressure, D. Decreased pulmonary pressure
A: Right sided heart failure
Answer: A: Right sided heart failure 
Explanation: The combination of hypoperfusion and retrograde congestion (Chronic passive congestion) acts synergistically to generate centrilobular hemorrhagic necrosis. The liver takes on a variegated mottled appearance reflecting hemorrhage and necrosis in the centrilobular regions, know as nutmeg liver.
Chronic passive congestion is seen in RHF