In this case, the first step is to check the ultrasound of the upper abdomen to see if there are stones and inflammation in the gallbladder. If inflammation or stones in the gallbladder are ruled out, the patient should see if the liver is enlarged and if there are hypoechoic or hyperechoic swellings in the liver. For liver masses, generally hypoechoic masses, patients need to have further blood tests for alpha-fetoprotein and to see if the patient has a combination of chronic viral hepatitis B and C. If there is an elevated AFP result and the patient’s CT-enhanced upper abdomen and ultrasonography suggest the possibility of a primary liver tumor, early surgical treatment should be considered. If the patient is diagnosed with hepatic hemangioma as a hyperechoic mass after enhanced CT or MRI of the upper abdomen, the patient should be regularly monitored for changes in the diameter of the hepatic hemangioma, and surgical treatment or interventional embolization should be considered as soon as possible if it exceeds 5 cm.