Stronger liver echoes with slightly blunt edges and a slightly enlarged spleen may be associated with cirrhosis, fatty liver, liver cancer and other diseases. It is recommended that the patient undergoes further examination to clarify the cause of the disease and then undergo targeted treatment. 1. Cirrhosis: the first consideration is that cirrhosis is caused by the liver with strong echoes, slightly blunt edges and a slightly enlarged spleen. After cirrhosis occurs, the patient may show symptoms such as nausea, vomiting and fatigue. 2. Fatty liver: it is caused by diffuse fatty lesions in liver cells due to various reasons. Fatty liver may also be manifested in ultrasound as the liver with strong echoes, slightly blunt edges and slightly enlarged spleen. 3. Hepatocellular carcinoma: If the patient has suffered from hepatitis in the past or consumed alcohol for many years, and has symptoms such as pain, fever and fatigue, the existence of hepatocellular carcinoma cannot be ruled out. If this condition is found, it is recommended that the patient should actively consult the doctor, improve the relevant examination, and standardize the treatment after clear diagnosis.