Intrahepatic echoes are punctate dense diffuse enhancement, and patients are generally considered to have fatty liver and hepatic fibrosis. 1. Fatty liver. Dense and diffuse point-like enhancement of intrahepatic echoes should be considered to be caused by fatty liver, and the diagnosis should be made in conjunction with the results of ultrasound of the patient’s liver. 2. Liver fibrosis. Dense diffuse point-like enhancement of intrahepatic echoes should also be considered to be caused by liver fibrosis, and the cause of liver fibrosis should be traced according to the patient’s past medical history, such as viral hepatitis or autoimmune hepatitis. 3. If hepatic fibrosis progresses to cirrhosis, it may also be characterized by dense diffuse point-like enhancement of intrahepatic echoes. Therefore, if the above imaging signs are found, the patient should consult the doctor in a timely manner, complete the relevant examinations, make a clear diagnosis, and then take appropriate treatment programs.