Early manifestations of liver fibrosis on ultrasound include thickening of liver tissue, the envelope is still smooth, and so on. Liver fibrosis is mostly due to viral infection, long-term alcohol consumption, immune diseases. Early liver fibrosis, most of them have no clinical symptoms, and some of them have symptoms of indigestion and anorexia of grease, which are mostly related to fatigue. Early liver fibrosis B ultrasound performance is not typical, non-specific, for the liver size is normal or mildly enlarged, liver tissue is slightly thickened, the peritoneum is still smooth, the spleen may be accompanied by mildly enlarged or normal, portal vein and splenic vein is generally not dilated. When liver fibrosis occurs, it is recommended to consult a doctor in time, follow the doctor’s instructions for further examination, clarify the cause with the doctor’s help, and carry out targeted treatment or therapy.