Imaging is essential in the clinical diagnosis of hepatic lobe atrophy. Imaging examinations can visually reflect the condition of the patient’s liver lobe, from which the cause of lobe atrophy can be inferred and play an important role in guiding treatment. Targeted treatment of lobe atrophy can also help patients recover early. The main imaging modalities used to diagnose lobar atrophy are: 1. Laparoscopy is one of the reliable methods to diagnose lobar atrophy, which allows direct observation of the liver surface. In typical cases, nodularity of the liver surface, varices of the abdominal wall and splenomegaly are seen. Liver puncture for biopsy can also be performed under direct vision. For cases that cannot be diagnosed clinically, this examination can confirm the diagnosis and can detect early lesions. 2.Esophageal X-ray barium meal examination When the esophageal varices, the varices are higher than the mucosa, and the barium is unevenly distributed on the mucosa with worm-like or earthworm-like filling defects, and the longitudinal mucosal folds are widened. In the case of varicose veins of gastric fundus, the barium is daisy-like filling defect. 3.Esophagoscopy or gastroscopy can directly observe whether there are varices in esophagus and stomach, and understand the degree and scope of varices, which can help the differential diagnosis of upper gastrointestinal bleeding. The correct rate of checking varices through gastroscopy is higher than that of barium meal examination of esophagus X-ray. 4.Radionuclide scan With colloidal 198 gold or other nuclides for liver scan, patients with hepatic lobe atrophy can see generally sparse radioactivity in the liver area, uneven or speckled hypo-radiation area. 5.Computed tomography (CT) scan has less diagnostic value for hepatic lobe atrophy. Early stage shows a large liver with low density. In the late stage, the liver lobe shrinks, and the density is mostly increased, with splenomegaly and ascites.