Glutamyltransferase 74U/L is an elevated level, and whether it is serious or not needs to be confirmed by further imaging and other diagnostic tests before making a judgment. The normal reference values for glutamyl transferase are 11-50 U/L for men and 7-32 U/L for women, so 74 U/L is an elevated level. Elevated glutamyltransferase can be caused by a variety of factors, and may be elevated for a short period of time after alcohol consumption, and usually recovers gradually when alcohol consumption is stopped, which is a less serious condition. In addition, biliary tract obstructive disease, acute and chronic viral hepatitis, acute and chronic alcoholic hepatitis, fatty liver, pancreatitis, prostate tumors and other pathologies can also cause elevated glutamyl transferase. It is necessary to confirm the nature of the disease based on imaging and pathology to assess the severity of the disease. Therefore, it is recommended to consult a doctor in time to standardize the diagnosis and treatment.