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)?
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