Tuberculosis is not tuberculosis.

If it is confirmed to be tuberculoma, it must be pulmonary tuberculosis, but we need to judge whether there is activity at this stage, which can go through two aspects: the first imaging examination, if it is a high density tuberculoma, it does not show local invasion, and it does not show fuzzy shadow on the edge. This situation indicates that the old lesion normally does not need to be treated. If there is infiltration, patchy shadow, it is necessary to consider pulmonary tuberculosis activity and need to consider receiving treatment. Second, blood inflammation indicators, mainly including erythrocyte sedimentation, blood routine and c-reactive protein. If there is an increase in blood inflammation indicators, it is necessary to consider the possibility of tuberculosis activity and recommend treatment. In addition, if it is determined that tuberculosis activity exists, it must be actively treated. At this stage, mainly anti-tuberculosis drugs, including isoniazid, rifampicin, ethambutol, pyrazinamide, need to be on time, according to the amount, full course of medication.