Echogenicity of the liver is usually a manifestation of hepatocyte membrane damage and is most commonly seen in the following cases: First, patients with recurrent episodes of cholecystitis or cholelithiasis have biliary stasis, which affects the function of hepatocytes and may manifest as localized lipid deposition with echogenicity or roughness on ultrasound. The second type, with a history of chronic viral hepatitis that has repeatedly persisted and not improved, may also show symptoms of dense echogenicity and require systemic antiviral and hepatoprotective symptomatic therapy. The third type can be seen after autoimmune hepatitis, drug hepatitis liver damage, in this case, you need to promptly stop the drugs that cause liver damage, and should systematically protect liver function and other symptomatic treatment.