Slightly denser echogenic spots in the liver area on ultrasound may indicate fatty liver, and if there is a history of hepatitis B, we should also be alert to the possibility of cirrhosis. Generally speaking, the normal echoes in liver tissue are small low light spots with uniform distribution, and clear blood vessels and bile ducts can be seen. If fat infiltrates into the liver cells due to fatty liver disease, the density of the liver will be changed, which will form the sign of dense light spots under ultrasound. In addition, if the patient has a history of hepatitis such as chronic hepatitis B or liver function impairment, the presence of such changes on ultrasound should alert the patient to the possibility of continued progression to liver fibrosis and cirrhosis. If such changes appear on imaging, further examination is recommended to exclude fatty liver; at the same time, liver function, liver fiber four, liver hardness test and ultrasound of the upper abdomen should be examined to check whether there are liver streaks and wavy changes of the liver peritoneum, to exclude liver fibrosis, cirrhosis and other liver injuries. It is recommended that the patient should consult the hospital in time to get a clear diagnosis and under the guidance of a professional physician to carry out targeted treatment.