Acute granulomatous tuberculosis treatment for 2 months CT slice did not change may be the treatment effect is not good, need to adjust the treatment; may also be the existence of imaging lag, you can continue the original program of treatment. Acute granulomatous tuberculosis treatment for 2 months CT film did not change, at the same time there is no improvement in the symptoms, there is still fever, cough, cough sputum, laboratory examination of white blood cells, neutrophils, C-reactive protein, blood sedimentation and other indicators have no significant change. This indicates that the treatment is not effective and the anti-tuberculosis treatment program needs to be adjusted. Acute granulomatous tuberculosis treatment for 2 months CT film did not change, but the symptoms have obvious improvement, fever, cough, cough sputum have improved or disappeared, review of white blood cells, neutrophils, C-reactive protein, blood sedimentation is basically back to normal, then it shows that the treatment is effective. The lack of change in CT films may be due to imaging lag, which is slower than the improvement of clinical symptoms. In this case, it is sufficient to continue the original treatment program, and there is no need to change the treatment program.