A 58-year-old man with pulmonary emphysema has a 10-year history of congestive heart failure。 On physical exami- nation, he has lower leg swelling with grade 2 pitting edema to the knees and prominent jugular venous distention to the level of the mandible。 His serum levels of AST and ALT are increased。 The representative gross appearance of his liver is shown in the figure。 Which of the following underlying condi- tions is most likely to be present in this man?
选项：

A: Chronic renal failure
B: Common bile duct obstruction
C: Congestive heart failure
D: D Portal vein thrombosis
E: E Thrombocytopenia