Areas of tan fibrosis exist within the right lobe of the liver, which correspond to pale areas on the capsule. No masses or areas of necrosis are noted grossly. The first five sections show advanced cirrhosis. The liver has been divided into nodules by irregular bands of connective tissue. Within these there is mild ongoing chronic inflammation with activity along the edge of the developing nodules.
Bile ductules are present.
There is no indication of granulomatous reaction. Many medium sized bile ducts are present that show definite sclerosis of their wall. Many times this have the usual onion-ring fibrosis appearance. Active inflammation within the ducts, however, is not present. Completely scarred ducts are not present.