It is not possible to generalize whether liver medium echoes are normal or not. If there is uniform medium echoes throughout the liver on examination, it is usually normal, but if the medium echoes appear in the area of intrahepatic lesions, liver diseases such as liver abscess, focal nodular hyperplasia of the liver, and hepatocellular carcinoma need to be taken into consideration. Whether or not the medium echoes in the liver are normal depends mainly on whether or not the medium echoes are homogeneous, because normal liver tissue is imaged as having homogeneous medium echoes. If the medium echo is not homogeneous, then it is abnormal and may be due to hepatocellular carcinoma, liver abscess, or focal nodular hyperplasia of the liver, which requires further investigation to make a definitive diagnosis. It is not possible to judge the health of the liver by relying solely on the moderate echogenicity of the liver, and it is necessary to analyze the results of other tests in a comprehensive manner. Individuals who have received the results of the tests should consult with a professional physician and then listen to the guidance of the physician to take the next step in the treatment of the disease.