Thanks for consulting
Actually you have not mention the reason for getting an ultrasound
done, Whether it was included in general checkup or you had certain problem. Also your scan does not reveal your endometrial lining thicknes.
If you are not having any symptoms, no h/o of post coital or post menopausal bleed, and all other tests including endometrial biopsy
is normal, than in my view, there is no need for removal of uterus
Also all other high risk factors for development of uterine problems includind carcinoma has to be ruled out.
All the best.