The single most important thing about this gross pathology is that the disease is multinodular. This indicates metastases from distant sites.
Liver abscesses are usualy singular, filled with creamy yellow pus, and may show a fibrous capsule. Cirrhosis often shows a yellow color due to fatty change as well as regenerative nodules, which are not present here. A focal nodular hyperplasia is a singular tumor of the liver, and this is multinodular. Hepatitis B is a little harder to distinguish because from what I can tell it can be multinodular in some cases, but this liver also shows none of the sclerosis from chronic inflammation that would likely accompany Hep B. Finally, we see no dark discoloration to indicate infarction.
UW on FNH
-pop: young women
-mx: hepatic vascular deformity->localized hyperperfusion w/ secondary hyperplastic response
-dx: small, solitary, pale nodule. central stellate scar w/ fibrous septae
-sx: asymptomatic; discovered incidentally
at the very least, there are multiple areas of cancer giving some indication that it maybe metastatic.