Bilirubin includes total bilirubin, direct bilirubin and indirect bilirubin, all three bilirubin are high, indicating that the three indicators exceed the normal value range. A normal liver most likely refers to the imaging of the liver, with no obvious abnormal findings, which may be caused by physiological factors at this time, such as drinking alcohol or eating a lot of high-fat food. Of course, it may also be the early stage of some diseases where imaging is not obvious, such as primary sclerosing cholangitis and alcoholic liver. In addition, it is also possible that the bilirubin is elevated due to extrahepatic diseases, such as pancreatic head occupancy and hemolytic diseases. If the total bilirubin, direct bilirubin and indirect bilirubin are only mildly elevated, the test can be reviewed at a later date. If one or two of the three indicators are very significantly elevated, further relevant tests, such as MRI, blood tests, tumor markers, etc., should be completed. Depending on the specific cause, different treatment modalities should be chosen, including medication and surgery to lower the bilirubin value.