Liver echogenic changes, indicating that the liver has lesions, such as intrahepatic stones, liver cysts and liver tumors can cause liver echogenic changes, whether treatment is needed, need to be case-by-case, specific analysis, small size of intrahepatic stones and liver cysts, can be no need for treatment, large diameter of intrahepatic stones and liver cysts, the need for treatment, and patients with liver tumors need to be treated. 1. For intrahepatic stones with small diameters, observation and treatment can be carried out, and abdominal CT is usually reviewed to know the change of stone volume. For intrahepatic stones with diameters above 3cm, surgery is recommended, which needs to have the risk of inducing cancer. 2. Liver cysts with a diameter larger than 5cm need surgical treatment, while liver cysts smaller than 5cm can be followed up regularly. 3. Liver tumors are found to require timely surgical resection of the tumor, and postoperative biopsy is sent for pathology treatment. Whether the liver echogenic changes need to be treated or not, it is necessary to go to the hospital for examination to clarify the cause of the disease and then treat the symptoms, and if there is any discomfort in normal times, consult the doctor in time.