I am diabetic with an HbA1c level of 7.6 H. My liver function tests show SGPT 60.5 H, ALP 50.2 L, and SGOT 49.7 H. The hepatitis B surface antigen test is reactive. Ultrasound shows the liver is normal in size and shape, but has grade one fatty changes. My HBV DNA quantitative by real time PCR is 116801, and HBeAg is 0.25. My doctor diagnosed me with hepatitis B, but did not prescribe any medication. I am a little confused about my condition and would appreciate an explanation to help clear my doubts. I have provided the test results above.

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Hi Doctor. I am a 41 year old male. My abdominal ultrasound report shows that the liver is average in size, measuring about 16.1 cm in the right midclavicular line with a smooth outline. It has normal homogeneous echogenicity with smooth echotexture. There is an ill defined heterogeneous lesion in segment IVb V measuring about 1.7 by 2.4 cm with minimal surrounding vascularity. The portal vein is average in calibre with normal colour flow. Can you explain the cause and how dangerous this condition is.

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