Yesterday in the specialist clinic, a middle-aged female patient came in with a hepatobiliary ultrasound report suggesting the possible presence of intrahepatic bile duct stones. The patient had some consultation before the consultation, and was told that this disease might require liver resection, so she was very anxious and wiped her tears as she talked. After a thorough medical history, careful physical examination, and another review of the ultrasound report, it was found that there was only one hyperechoic foci, which did not feel like the typical clinical manifestations of intrahepatic bile duct stones. The patient was then instructed to take it easy and further MRCP (magnetic resonance cholangiopancreatography) examination would confirm the diagnosis. The results of the examination were as I expected, the bile duct was clear and there were no intrahepatic bile duct stones at all. The so-called stones on the ultrasound were probably small calcified foci in the liver and did not need to be treated at all. Ultrasound is convenient, inexpensive and non-invasive, and is indeed a very good tool for health checkups and initial screening of diseases, but due to its technical limitations, an ultrasound report alone is not sufficient to confirm a diagnosis. In contrast, typical intrahepatic bile duct stones should present with clinical manifestations such as abdominal pain, fever, jaundice, etc. The stones usually do not exist individually, but in a series, and the accompanying bile ducts may also be dilated, which cannot be diagnosed by a single ultrasound report. Such cases are often seen in outpatient clinics, and patients often make a diagnosis based on only a few test results, coupled with consultations, online information, and their own wild guesses, which is not desirable. Medical phenomena are never unchanging, and one’s illness cannot be copied to another person completely unchanged. The diagnosis of disease should be made through a comprehensive judgment of medical history, physical signs and auxiliary examinations. I hope that when you are unwell, you should go to a regular hospital, the doctor will give you the most suitable treatment plan, rather than their own blindly wondering, worrying about a lot of tears in vain…