Parenchymal necroinflammatory changes result in edematous swelling of the infected liver with smooth surface unless the macroscopic collapse occur. At the same time, an acute flare-up gives the infected liver reddish tone. Acute red liver atrophy due to fulminant hepatitis Poor prognosis is still common in the patient with fulminant hepatitis. This picture was also taken postmortem. The volume of the liver is so markedly reduced that the liver surface becomes shrunken.
Parenchymal haemorrhage is apparent on the liver surface.
A large whitish liver is characteristic in a patient with chronic virus hepatitis. The liver is often mildly to moderately swollen and the liver surface becomes slightly uneven. Small depressions on the liver surface are also common findings, reflecting the scattered parenchymal collapses. Viral liver cirrhosis Macronodular cirrhosis with narrow stroma is characteristic in viral liver cirrhosis. Liver edges are extremely dull and the liver surface is coarsely nodular.