Heterogeneous fatty liver generally refers to uneven fatty liver. Compared with general fatty liver, heterogeneous fatty liver has obvious characteristics and manifestations. Heterogeneous fatty liver is usually manifested as uneven distribution of fat in the liver. Under normal conditions, fat is evenly distributed in the liver, but in heterogeneous fatty liver, fat may be concentrated more in certain specific parts, while other regions are relatively less. This uneven distribution may be caused by different factors. One common reason is metabolic abnormalities, such as insulin resistance or obesity. These conditions can lead to changes in the distribution of fat in the liver, causing it to accumulate more fat in certain regions. Heterogeneous fatty liver may also be related to other factors, such as genetic factors, dietary habits, and lifestyle. Some studies have also found that heterogeneous fatty liver is associated with an increased risk of cardiovascular disease. For the diagnosis and treatment of heterogeneous fatty liver, comprehensive evaluation and analysis are usually required. The methods of treating heterogeneous fatty liver mainly include lifestyle changes, dietary changes, and drug treatment. Patients need to establish a healthy diet plan, reduce the intake of high-fat, high-sugar, and high-salt foods, and increase the intake of vegetables, fruits, whole grains, and high-fiber foods. Moderate physical exercise and reducing bad habits (such as alcohol abuse and smoking) are also important measures.