<prompt> Nutmeg liver is the gross appearance of the liver in one of the following-Cirrhosis of liverHepatomaSecondary carcinomatous deposit in liverChronic passive congestion in liver  <response>: 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. 