Nutmeg liver is the gross appearance of the liver in one of the following-
Cirrhosis of liver
Hepatoma
Secondary carcinomatous deposit in liver
Chronic passive congestion in liver
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.