Hi, I have a 10 years old female patient,from a migrant family of UP with poor S.E, status and a F.H of Kochs. She c/o persistant cough,L.G.F. and pain left lower chest > on deep inspiration. Mx was positive, ESR 78,TLC 5,800 with lymphocytosis. Xray chest suggestive of Rt. lower zone Pleural thickening,hilar shadows prominant and Ultra sound showed a pocket of encysted Pleural Effusion which was tried to be aspirated with a U/S guided needle but the tap failed. Pt.received ATT -PZM,Rifa,INH,Ethambutol for 2months but the encysted Effusion did not get reabsorbed,although the consolidation resolved. ATT was continued for 6months(PZ was stopped after 2months). AS the P.E. persisted a 6weeks course of Prednisolone,Ofloxacin and 60 shots of STM also given.A CTS at the end of 9 months Rx still shows a very small pocket of encysted fluid. 1. Should ATT be discontinued or be given for somemore time? 2. Any need for a surgical intervention? Apparently the child seems to be fully cured. Dr. J.S. Chugh Consultant Pediatrician, S.N.S. Pahwa Hospital,Ludhiana