Dense and enhanced liver echogenicity indicates a change in liver parenchyma and density, which is often seen in fatty liver. With the improvement of living standard, high fat eating and obesity have increased the incidence of fatty liver, which must be reviewed regularly, combined with appropriate exercise, when the situation of fatty liver may be improved. If the review, including ultrasound and laboratory tests, indicates that the fatty liver is getting heavier, regular treatment is necessary. Many patients who take a low-fat diet and exercise will improve with a finely enhanced liver echo, because fatty liver can be reversed under normal circumstances, unlike other liver diseases. Therefore, if the cause of liver echogenicity enhancement occurs, it is important to identify the cause and not worry too much, but just treat it correctly and face it positively, and adopt a reasonable and correct lifestyle to overcome the disease.