A high liver hardness value can be caused by the following reasons: 1. The liver itself has relatively severe inflammatory activity, for example, there is currently significant jaundice with transaminases greater than five times the normal value. The more inflammatory the liver is, the heavier the activity, the higher the liver hardness value, so you can wait until liver function is completely normal before reviewing the hardness value.2. Normal liver function, but a high liver hardness value, would suggest that the liver has become fibrotic or even cirrhotic.3. Combined with a fatty liver. The accumulation of fat in the liver cells will affect the detection of liver hardness value, and the more severe the fatty liver is, the higher the liver hardness value will be. Therefore, a high liver hardness value should not be taken for granted that it must be cirrhosis, but can be rechecked after the above factors are excluded, so that the index is more realistic and objective.