<prompt> Nutmeg liver occurs in:Chronic venous congestionHyperaemia of liverHepatic thrombosisAcute hepatic congestion  <response>: Ans: a Chronic venous congestion Ref: Robbins, 7th ed, p.122In chronic venous congestion of the liver, the central regions of hepatic lobules are grossly red brown depressed due to loss of cells and are accentuated against the surrounding zones of uncongested tan liver giving the characteristic appearance of nutmeg liver.HyperaemiaCongestionActivePassiveIncreased inflow due to arteriolarImpaired outflowDilatation Tissue bright redTissue blue redChronic passive congestion in - Lungs -Heart failure cells Hemosiderin laden macrophages in alveolar spaces- Brown induration Fibrosis Hemosiderin pigmentation Liver - Nutmeg liverSpleen- Siderofibrotic nodulesBrown induration of lung - HemosiderinBrown induration of liver - Lipofuschin 