Strong echoes in the right lobe of the liver are often considered as hepatic hemangioma, hepatocellular carcinoma, intrahepatic bile duct stones, and calcified foci in the liver. Strong echoes in the right lobe of the liver refers to a finding after an ultrasound examination of the liver. Strong echoes mostly refer to lesions with higher density than the surrounding organs, such as stones and calcifications. 1. Hepatic hemangioma: hemangioma is mainly composed of dilated capillaries and stagnant blood, which is separated by a fibrous septum. It is mainly characterized by high echogenicity on ultrasound, which may be due to the formation of multiple interfaces between dilated capillaries and stagnant blood in the vessels, resulting in reflective enhancement of echogenicity. Imaging examination should also be performed to clarify the diagnosis. 2. Hepatocellular carcinoma: Hepatocellular carcinoma nodules in the arterial phase show strong echoes and are characterized by fast in and fast out. Hepatocellular carcinoma is more serious and should be treated as early as possible. CT, enhanced CT, tumor marker detection and other measures should be performed to make a clear diagnosis. 3. Intrahepatic bile duct stones: there are intrahepatic bile ducts in the right lobe of the liver, and the stones are mostly hyperechoic, so they can be manifested as hyperechoic in the right lobe of the liver. The right lobe of the liver is often resected. 4. Calcified foci in the liver: Calcified foci in the liver can be seen in chronic hepatitis, liver cysts and intrahepatic parasites. Other auxiliary tests such as CT should be performed to confirm the diagnosis. Strong echogenic lesions in the right lobe of the liver can be benign or malignant. It is recommended to consult a doctor for a clear diagnosis.