LIVER – Nutmeg liver (chronic venous congestion secondary to heart failure)

A section of liver showing the classical appearances of chronic venous congestion. The liver shows irregular mottling comprising pale and dark areas in a pattern reminiscent of of nutmeg.
This woman was apparently well until nine months before she died at the age of 66. At this time she became short of breath and showed signs of heart failure. A diagnosis of amyloidosis was finally established by biopsy of lung and myocardium. At autopsy this diagnosis was confirmed.