<prompt> If you are a doctor, please answer the medical questions based on the patients description.hello...doctor ito from nagaland age 23 male taken medicine for last 14 monthstubercolusiscontinuing akurit kits..but dont shows improvment due aspectic and plural thickness please help is there any further treatment?and also pilling out the lungs cover is there any abnoramalities,side effect?  <response>: Hello and welcome to Chat Doctor, Kindly consult a specialist pulmonologist for review of the anti-tubercular treatment ATT. No ATT regime is as long as 14 months. Prolonged ATT is given only in case of bone tuberculosis. The ATT has be reviewed at regular intervals to assess the effectiveness of treatment. In case of pleural thickness, pleural decorticating can be done. However, it is important to consult a specialist for clinical assessment and further management. Thanks and take care Chat Doctor. 