Elderly patient receiving chemotherapy for breast cancer metastatic to the liver and the skeleton.

The hepatologist decided against liver biopsy for metastases since the disease was advanced and widespread and the patient was receiving chemotherapy anyhow. However, serology for HBA and HCV was negative and cirrhosis was ruled out clinically. In addition, there was no evidence of splenomegaly or collateral vessels on the cross-sectional studies.

All of these findings combined are strongly in favor of pseudocirrhosis.