The right liver is shrunken and the left liver is compensatorily enlarged and is not smooth, the first consideration is that the patient has cirrhosis. The right liver is shrunken and the left liver is compensated enlarged, and in combination, the liver is shrunken, suggesting that there may be cirrhosis, especially in the decompensated stage of cirrhosis when the liver will show obvious symptoms of shrinkage. The diagnosis of cirrhosis requires further testing based on imaging and histopathology, so it is not possible to evaluate the liver simply by shrinking it. It is necessary to determine whether the patient has a primary disease that leads to liver damage; and whether the patient has the clinical manifestations of hepatic hypoplasia and increased portal vein pressure. If one side of the liver is found to be shrunken and the other side of the liver is found to be compensatorily enlarged, it is recommended to consult the gastroenterology department of a regular hospital.