Liver spotting is a symptom that occurs during a liver ultrasound and requires treatment depending on the condition. Dense liver spots are usually described during a liver ultrasound, the most common cause of this phenomenon is fatty liver, and it may also be an early manifestation of liver injury. In general, the description of dense spots appears during the examination, and further examination of liver function and other tests are needed to clarify the cause. Generally, in clinical treatment, if fatty liver is the cause of dense liver spots, it is recommended that the patient should firstly make dietary adjustments, avoid high oil and high fat foods, and at the same time, cooperate with exercise, and regularly review whether there is still fatty liver. If it is caused by liver function abnormality, then we need to make a clear diagnosis as soon as possible and take appropriate treatment. Don’t be alarmed by the description of dense liver spots during liver ultrasound, we suggest to follow up as soon as possible, and take appropriate tests according to the doctor’s suggestion in order to clarify the condition.