The enlarged prostate with uneven echoes is usually the result of prostate ultrasound, which suggests that there are abnormalities in the prostate parenchyma, which may be prostatitis, prostate hyperplasia, prostate cancer, and so on. 1. Prostatitis: Inflammation of the prostate gland leads to congestion and edema of the prostate gland, resulting in uneven echoes. 2. Prostatic hyperplasia: when the prostate gland is hyperplastic, it can also lead to localized congestion and enlargement of the prostate gland, which in turn leads to uneven echoes of the prostate gland. 3. Prostate cancer: when doing ultrasound examination of the prostate, asymmetric enlargement can be seen, showing nodular echogenicity, and rich blood flow signals, and it is also necessary to improve the prostate MRI or CT examination of the prostate to rule out the possibility of lesions. If the prostate is enlarged and has uneven echogenicity, it is recommended to have a detailed examination in time and follow the doctor’s instructions.