A dense hepatic dotted echogenicity is most often considered to be a lesion of the liver, with hepatocellular damage and possible abnormal liver function. With the improvement of people’s living standard, high fat eating, obesity and lack of exercise will increase the incidence of fatty liver. Frequent physical examination if found to have fatty liver and high blood lipids, can be controlled by diet and exercise, etc., to reduce blood lipids, so that fatty liver can be reversed, if the disease continues to develop, it may cause serious consequences. Of course, liver punctate echogenicity and denser, there are other causes, including some cirrhosis endogenous autoimmune liver disease, surgical liver sludge, biliary cirrhosis and drug-related liver injury, can also be manifested as liver punctate echogenicity and denser. Therefore, it is important to pass the examination, make a clear diagnosis and treat correctly.