Which of the following causes of diffuse hepatic surface nodularity can be most difficult to distinguish from cirrhosis?
- Treated breast cancer metastases to the liver
- Chronic Budd-Chiari syndrome
- Chronic portal vein thrombosis
- Pseudomyxoma peritonei
- Miliary metastases
View Explanation
Post-chemotherapy changes to hepatic metastases from breast cancer can cause fine diffuse nodularity resembling cirrhosis known as ‘pseudocirrhosis.’ B-D cause coarse nodularity rather than fine and diffuse nodules in cirrhosis. Mets is unlikely to mimic cirrhosis.