You must get a liver biopsy
done to look for any fibrotic changes,since your ultrasound
of liver suggests mild coarse echo structure.
Remember 40% of ASYMPTOMATIC HEP B +ve patients have hepatic fibrosis.
Get your ALT levels also done.
If your ALT level is more than 60 or if liver fibrosis
is present,you must get your treatment started by getting interferons and immunomodulators.
Consult a gastroenterologist
regarding your treatment.