A 0.7×0.5cm strong echo in the right lobe of the liver is usually not serious. Intrahepatic strong echoes generally represent lesions that tend to be benign in nature. These lesions generally include intrahepatic bile duct stones, hemangiomas, calcified foci, etc., of which intrahepatic choledocholithiasis is more likely to be present, and thus is generally not very serious. Clinical manifestations of intrahepatic bile duct stones are asymptomatic or only with distension and discomfort in the epigastrium and chest and back when the condition is mild; when combined with acute cholangitis, it will cause chills, high fever and abdominal pain. When intrahepatic bile duct stones are asymptomatic, they can be left untreated with regular follow-up and observation; however, if the clinical symptoms recur, they should be treated surgically with choledochotomy or partial hepatectomy. Hemangioma is usually asymptomatic, but if it is large and symptomatic, partial hepatectomy or hepatic hemangioma debulking is feasible. Hepatic calcified foci are usually asymptomatic and do not cause any discomfort and do not require treatment. When a 0.7×0.5cm strong echo is found in the right lobe of the liver, the doctor should first be asked to make a diagnosis based on the patient’s overall condition. As the lesion is not big, it usually does not need special treatment, but regular review is needed to clarify whether the lesion has increased or not.