Intrahepatic echogenic masses are considered to be caused by hemangiomas in the liver, focal nodular hyperplasia in the liver and inhomogeneous fatty liver. 1. Hemangioma in the liver: hemangioma in the liver can be manifested as a localized echogenic mass on ultrasound. Generally, it often shows high signal in color ultrasound examination. In this case, the specifics of the lesion can be determined by magnetic resonance and enhanced CT. 2. Focal nodular hyperplasia in the liver: this is a relatively common benign liver disease. Generally speaking, small-sized focal nodular hyperplasia can be manifested as changes of echogenic masses, which have little effect on the human body and do not require much treatment. 3. Uneven fatty liver: patients with uneven fatty liver will also have echogenic clusters, this is because the local liver tissue is accompanied by more fatty tissue deposition, which is not particularly uniform, which leads to local echogenic clusters of changes. In addition, hepatic adenomas and hepatic malignant tumors can also be suggestive of intrahepatic echogenic masses. Patients with the above imaging manifestations should go to the hospital in a timely manner to complete the relevant examinations, and ask the doctor to clarify the cause of the disease and then give targeted treatment.