<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello- Diognosed with Hep B 23 years ago. Had liver biopsy everything okay. Good helth since. Had routing blood test recently and ALT 248, AST 98, Total Bili 1.7, everything else in normal range. Reactive for Hep B Antigen, non-reactive for Antibodies. Still feel great and have no other health issues. Scheduled for ultrasound next. Does this sound like liver damage caused by an active Hep B infection? What will the ultrasound show does it show liver damage?  <response>: Hi, You are having active hepatitis due to hepatitis b virus ultrasound may or may not show anything, what is important is the level of liver enzymes, hepatitis b viral DNA title and presence or absence of Head. You seem to be having chronic hepatitis c infection and hence proper follow up with a gastroenterologist is a must, irrespective of whether liver seems normal in ultrasound or not, as many cases of chronic viral hepatitis can land in complications. Treatment will help in many cases. All the best 