Mild fatty liver peritoneum undersmooth means that there are different degrees of liver damage, fatty liver, alcoholic cirrhosis, liver abscess, liver malignant tumor and other diseases can cause liver peritoneum undersmooth. Mild fatty liver peritoneum is not smooth because the liver cells will have morphological and structural changes during the process of liver injury. The liver peritoneum appears uneven or with the proliferation of abnormal fibrous tissue, localized nodules will appear. In addition to fatty liver can cause the envelope is not smooth, viral hepatitis, cirrhosis of the patient will be accompanied by more pseudo lobular hyperplasia, the emergence of the liver, resulting in its atrophy, the surface of the liver is uneven and not smooth, and even the surface of the neoplastic hyperplasia. Therefore, the liver pericardium should also be examined by enhanced CT or magnetic resonance examination to clarify whether it is accompanied by hepatic neoplastic lesions. If there is no neoplastic hyperplasia, liver ultrasound and liver function should be rechecked regularly. Mild fatty liver pericardium not smooth may also have other pathological factors, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or therapy under the guidance of the doctor.