Liver with Oesophagus – Cirrhosis with Oesophageal Varices
55 year old man with chronic hepatitis B for many years on regular cancer surveillance. He had portal hypertension with bleeding varices.
The liver is contracted, firm and nodular. Cut surface shows diffuse parenchymal replacement by tan-coloured nodules of variable size surrounded by fibrous septa. There is no normal intervening liver parenchyma. No suspicious masses are seen.
The segment of oesophagus shows collapsed but previously engorged and tortuous submucosal veins (varices).