Many liver diseases can cause multiple slightly strong echoes in the liver, such as cirrhosis and liver cancer. Therefore further investigations are needed to confirm the diagnosis. Common ones include CT examination, liver puncture, positron emission computed tomography, etc. 1. CT examination: Liver CT examination can confirm the lesion site by recognizing the difference in density. If necessary, contrast dye can be injected to increase the examination to see if there are malignant tumors or cirrhosis problems. 2. Liver puncture: this is an invasive test, which can be performed with the help of laparoscopy or ultrasound to conduct tissue biopsy, thus accurately reflecting the severity of the disease. However, it should be noted that there may be a risk of needle transfer during the puncture, so it is necessary to go to a regular hospital for examination. 3. Positron emission tomography (PET): Generally speaking, the test can fully reflect the condition in one visit and is not affected by anatomical structures. However, the treatment cost of this examination is higher and it should be implemented with the arrangement of medical personnel. If there are multiple slightly strong echoes in the liver, it is recommended to go to the hospital as soon as possible for further examination and follow the doctor’s instructions for treatment.