Hepatitis is not the only cause of coarse liver echoes, any liver disease, bad habits, biliary stasis and other factors can cause coarse liver echoes. 1. Liver disease: besides hepatitis, fatty liver, cirrhosis, alcoholic liver disease, drug liver injury, etc. can cause liver echogenicity under liver ultrasound. 2. Bad habits: alcoholism, staying up late, high-fat diet, strenuous exercise, etc. can cause coarse liver echoes. 3. Cholestasis: cholecystitis, gallbladder stones, cholangiocarcinoma, etc. can lead to poor bile excretion, resulting in cholestatic liver disease, ultrasound can also have the phenomenon of coarse liver echo. If the phenomenon of coarse liver echo exists, it is recommended to go to the hospital as soon as possible to find out the cause and take corresponding measures under the guidance of the doctor.