Cirrhosis occurs when scar tissue replaces healthy tissue in the liver brought on by many years of something bothering the liver causing lots of inflammation. It's a slow process that typically takes many years to form. There are many causes such as alcohol abuse, viral hepatitis A, B, C, and D, fatty liver, autoimmune disease, biliary disease,too much iron in the body, medications that affect the liver.... Cirrhosis is permanent damage that never goes away. The only cure for cirrhosis is a liver transplant, but not everyone with cirrhosis will need one. It is quite common for no physical symptoms of cirrhosis to appear until the disease is far advanced. This person would most likely be in the more advanced stage of the disease. The liver will usually enlarge at first, but as the disease progresses, the liver will become shrunken as it dies. Over time the spleen will typically also become enlarged. Since this person shows gross ascites (accumulation of fluid in the abdomen), they may need to get drained or "tapped" to make them more comfortable which is a procedure done at the hospital. They might be able to get rid of the fluid with medications, but if that doesn't work well, they will need to get tapped.
I had cirrhosis from an autoimmune disease and received a liver transplant. I am also a nurse.