This could be another example of post necrotic cirrhosis secondary to fulminate viral hepatitis, although prolonged toxic exposure (possibly alcohol) could also result in this degree of damage. Grossly, the liver would be shrunken, have a profound nodular pattern with many nodules of varying size throughout (hobnails), and may even show large bands of scar tissue creating a lobulated or septate pattern.
 

Mark Braun, MD braunm@indiana.edu
Copyright 1998, the Trustees of Indiana University