Hepatic hypoechoic and hypoechoic nodules are not the same. Liver hypoechoic refers to the degree of echogenicity of the liver during an ultrasound. Hepatic hypoechoic nodules mainly refer to an abnormal mass in the liver that is described based on the degree of echogenicity at the time of ultrasound. It is mainly related to the density of the liver and the abnormal mass. Hepatic hypoechoicity can be a normal presentation of the liver on ultrasound or it can be an abnormal presentation. It is related to the area scanned, for example, normal liver appears hypoechoic in areas such as the posterior aspect of the gallbladder neck or the hilar region on the right subcostal margin scan. In fatty liver, when there is a thickened fat layer that extends around the liver, it may also appear relatively hypoechoic with reticular hyperechoic bands. Hypoechoic nodules are abnormal ultrasound manifestations of abnormal masses in the liver, mainly liver cancer and hepatic adenoma. It is recommended to conduct examination under the guidance of a doctor for further diagnosis to avoid delaying the condition.