<s>[INST] My USg result is coarse echotexture and 2 hepatic cysts. And it suggests that I have cirrhosis. I have hep b that I was aware of when I was 22 years old. And I am 43. Can be this result acurate? Every year, I check my liver fuction, AFP, viral load ( fluctuate from undetectable to 2000) and my hbeag negative and have anti hbeag positive.and USg yearly. I missed my USg last year. My GI never recommend me biopsy or  treatment before. I am upset if It has progressed to cirrhosis. I have done blood work yearly and did not do anything.What is the next step to follow up? I heard about fibroscan. It is better than biopsy? [/INST] Thank you for your query. Echo Texture should NOT be of much concern if your previous LFTS are normal and Bag is negative along with low viral load. It better to go with "fibrosis" for now which may reflect the cirrhosis score and give a better picture.it would have been more appropriate to mention the dates of your blood tests, viral markers, USG.any further queries would be welcomed. Regards, Chat Doctor.  </s>