Ultrasound is often the first technique used for the detection and characterisation of focal liver lesions because of its availability, low cost and safety. Shockingly, the affectability and particularity of regular ultrasound is under 70 % for the recognition and characterisation of central liver injuries (FLLs). assess the job of ongoing elastography ultrasound method in portrayal of various HFLS. This is an imminent report, The patients were isolated reflectively into three gatherings: Group 1: included 148 patients who were analyzed as essential harm including hepatocellular carcinoma (HCC) and chlolangiocarcinoma. Gathering 2: included 23 patients who were analyzed as kind injuries, for example, hemangioma, sores and FNH. Gathering 3: included 29 patients who analyzed as metastatic sores, patients were exposed to full history taking, total clinical assessment, lab examinations and imaging as Abdominal ultrasonography, Triphasic CT check ; Dynamic MRI with dissemination; and US guided biopsy and histopathology assessment. The present examination was directed on 200 patients with central liver sores, There was a profoundly factually critical distinction (P-esteem < 0.001) between essential harmful gathering and generous injuries bunch as respect SWE of central injury, SWE of liver and FL/liver proportion. Exceptionally factually noteworthy distinction (P-esteem < 0.001) between essential harmful and metastatic gatherings as respect SWE of central sore and FL/liver proportion. SWE had the option to separate the essential danger from amiable injuries and metastases, as there was exceptionally factually huge distinction as respect SWE perusing of FL/liver proportion (P value<0.001).