Multiple Substantial Hypoechoic Nodules in the Liver (Considering Metastatic Ca Possibility) means: by ultrasound examination, the multiple nodules appearing in the liver are found to be metastatic tumors with a high possibility, and should be further examined to clarify the diagnosis. At present, multiple substantial hypoechoic nodules in the liver are considered to be metastatic tumor possibility, which should be further examined by imaging, such as enhanced CT, PET-CT, liver puncture biopsy, etc. If the diagnosis of liver metastatic carcinoma is confirmed, it is necessary to find the primary lesion, and the relevant specialists will formulate a treatment plan to prolong the survival time. It is suggested that patients should consult regular hospitals in time, complete relevant examinations according to doctor’s instructions, make a clear diagnosis, and then standardize the treatment.