diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index f2e3f24c..b55de1ed 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -118,6 +118,12 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public decimal FristAddTaskNum { get; set; }
 
         public ReportLayType ReportLayType { get; set; } = ReportLayType.Group;
+      
+
+        /// <summary>
+        /// 问题英文分组
+        /// </summary>
+        public string GroupEnName { get; set; } = string.Empty;
 
         public List<TaskQuestionAnswer> Answer { get; set; } = new List<TaskQuestionAnswer>();
 
diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index 1e17e115..ae8935de 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -271,7 +271,7 @@ namespace IRaCIS.Core.Application.Service
                             DictionaryCode = x.ReadingQuestionTrial.DictionaryCode,
                             ShowOrder = x.ReadingQuestionTrial.ShowOrder,
                             QuestionGenre = x.ReadingQuestionTrial.QuestionGenre,
-                            QuestionName = x.ReadingQuestionTrial.QuestionName
+                            QuestionName = x.ReadingQuestionTrial.QuestionName.LanguageName(x.ReadingQuestionTrial.QuestionEnName,_userInfo.IsEn_Us)
                         }).ToListAsync();
                         var globalChangeAnswer = await _readingGlobalTaskInfoRepository.Where(x => taskIds.Contains(x.GlobalTaskId) && x.Answer != string.Empty && x.GlobalAnswerType == GlobalAnswerType.Question && x.GlobalVisitTask.TaskState == TaskState.Effect).ToListAsync();
                         medicalReviewInfo.TaskList.ForEach(x =>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
index 7b0d78bb..202ad6fa 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
@@ -136,7 +136,7 @@ namespace IRaCIS.Application.Services
          .Select(x => new GetCalculateQuestionsOutDto
          (){
              QuestionId = x.Id,
-             QuestionName = x.QuestionName
+             QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us)
 
          }).ToListAsync();
 
@@ -145,7 +145,7 @@ namespace IRaCIS.Application.Services
                    {
                        QuestionId= x.Id,
                        x.ReadingQuestionId,
-                       x.QuestionName
+                       QuestionName=x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us)
                    }).ToListAsync();
 
 
@@ -182,7 +182,7 @@ namespace IRaCIS.Application.Services
          ()
          {
              QuestionId = x.Id,
-             QuestionName = x.QuestionName
+             QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us)
 
          }).ToListAsync();
 
@@ -451,7 +451,7 @@ namespace IRaCIS.Application.Services
         {
             var query = _readingQuestionTrialRepository.AsQueryable()
                 .Where(x => x.ReadingQuestionCriterionTrialId == inDto.ReadingQuestionCriterionTrialId)
-                 .WhereIf(!inDto.QuestionName.IsNullOrEmpty(), x => x.QuestionName.Contains(inDto.QuestionName))
+                 .WhereIf(!inDto.QuestionName.IsNullOrEmpty(), x => x.QuestionName.Contains(inDto.QuestionName)||x.QuestionEnName.Contains(x.QuestionEnName))
                   .WhereIf(!inDto.Type.IsNullOrEmpty(), x => x.Type.Contains(inDto.Type))
                    .Where(x => x.ReadingCriterionPageId == inDto.ReadingCriterionPageId)
                  .ProjectTo<ReadingQuestionTrialView>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder);
@@ -551,7 +551,7 @@ namespace IRaCIS.Application.Services
                 .Select(x => new CriterionOtherQuestionOutDto()
                 {
                     QuestionId = x.Id,
-                    QuestionName = x.QuestionName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     TypeValue = x.TypeValue,
                     GroupName = x.GroupName,
                 }).ToListAsync();
@@ -586,7 +586,7 @@ namespace IRaCIS.Application.Services
         {
             var result = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == inDto.CriterionId && x.Type == ReadingQestionType.Group)
                 .Where(x => x.ReadingCriterionPageId == inDto.ReadingCriterionPageId).OrderBy(t => t.ShowOrder)
-                  .Select(x => x.GroupName).ToListAsync();
+                  .Select(x =>x.GroupName).ToListAsync();
 
             return result;
 
@@ -634,7 +634,7 @@ namespace IRaCIS.Application.Services
                 .Select(x => new CriterionOtherQuestionOutDto()
                 {
                     QuestionId = x.Id,
-                    QuestionName = x.QuestionName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     TypeValue = x.TypeValue,
                 }).ToListAsync();
 
@@ -962,147 +962,147 @@ namespace IRaCIS.Application.Services
         }
 
 
-        /// <summary>
-        /// 更改项目标准（老）
-        /// </summary>
-        /// <param name="systemCriterionId"></param>
-        /// <returns></returns>
-        private async Task UpdateTrialCriterion(Guid systemCriterionId)
-        {
-            await _readingQuestionCriterionTrialRepository.BatchUpdateNoTrackingAsync(x => x.ReadingQuestionCriterionSystemId == systemCriterionId, x => new ReadingQuestionCriterionTrial()
-            {
-                IsCompleteConfig = true,
-            });
-            var systemCriterionQuestionList = await _readingQuestionSystemRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).ToListAsync();
-            var trialCriterionList = await _readingQuestionCriterionTrialRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).Select(x => new
-            {
-                x.Id,
-                x.TrialId,
-            }).ToListAsync();
-            var trialCriterionIdList = trialCriterionList.Select(x => x.Id).ToList();
-            List<ReadingQuestionTrial> needAddQuestionList = new List<ReadingQuestionTrial>();
-            foreach (var item in trialCriterionList)
-            {
-                await _readingQuestionTrialRepository.BatchDeleteNoTrackingAsync(x => trialCriterionIdList.Contains(x.ReadingQuestionCriterionTrialId));
-                List<ReadingQuestionTrial> trialQuestionList = new List<ReadingQuestionTrial>();
-                SetChildParentQuestion(item.Id, item.TrialId, systemCriterionQuestionList, trialQuestionList);
-                needAddQuestionList.AddRange(trialQuestionList);
-            }
-            await _readingQuestionTrialRepository.AddRangeAsync(needAddQuestionList);
-        }
+        ///// <summary>
+        ///// 更改项目标准（老）
+        ///// </summary>
+        ///// <param name="systemCriterionId"></param>
+        ///// <returns></returns>
+        //private async Task UpdateTrialCriterion(Guid systemCriterionId)
+        //{
+        //    await _readingQuestionCriterionTrialRepository.BatchUpdateNoTrackingAsync(x => x.ReadingQuestionCriterionSystemId == systemCriterionId, x => new ReadingQuestionCriterionTrial()
+        //    {
+        //        IsCompleteConfig = true,
+        //    });
+        //    var systemCriterionQuestionList = await _readingQuestionSystemRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).ToListAsync();
+        //    var trialCriterionList = await _readingQuestionCriterionTrialRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).Select(x => new
+        //    {
+        //        x.Id,
+        //        x.TrialId,
+        //    }).ToListAsync();
+        //    var trialCriterionIdList = trialCriterionList.Select(x => x.Id).ToList();
+        //    List<ReadingQuestionTrial> needAddQuestionList = new List<ReadingQuestionTrial>();
+        //    foreach (var item in trialCriterionList)
+        //    {
+        //        await _readingQuestionTrialRepository.BatchDeleteNoTrackingAsync(x => trialCriterionIdList.Contains(x.ReadingQuestionCriterionTrialId));
+        //        List<ReadingQuestionTrial> trialQuestionList = new List<ReadingQuestionTrial>();
+        //        SetChildParentQuestion(item.Id, item.TrialId, systemCriterionQuestionList, trialQuestionList);
+        //        needAddQuestionList.AddRange(trialQuestionList);
+        //    }
+        //    await _readingQuestionTrialRepository.AddRangeAsync(needAddQuestionList);
+        //}
 
 
-        /// <summary>
-        /// 更改项目标准（新）
-        /// </summary>
-        /// <param name="systemCriterionId"></param>
-        /// <returns></returns>
-        private async Task SynchronizeSystemCriterion(Guid systemCriterionId)
-        {
-            var systemCriterion = await _readingQuestionCriterionSystemRepository.FirstOrDefaultAsync(x => x.Id == systemCriterionId);
+        ///// <summary>
+        ///// 更改项目标准（新）
+        ///// </summary>
+        ///// <param name="systemCriterionId"></param>
+        ///// <returns></returns>
+        //private async Task SynchronizeSystemCriterion(Guid systemCriterionId)
+        //{
+        //    var systemCriterion = await _readingQuestionCriterionSystemRepository.FirstOrDefaultAsync(x => x.Id == systemCriterionId);
 
-            var trialCriterionList = await _readingQuestionCriterionTrialRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).Select(x => new
-            {
-                x.Id,
-                x.TrialId,
-            }).ToListAsync();
+        //    var trialCriterionList = await _readingQuestionCriterionTrialRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).Select(x => new
+        //    {
+        //        x.Id,
+        //        x.TrialId,
+        //    }).ToListAsync();
 
-            var trialCriterionIds = trialCriterionList.Select(x => x.Id).ToList();
-            var systemQuestionList = await _readingQuestionSystemRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).ToListAsync();
-            var trialQuestions = await _readingQuestionTrialRepository.Where(x => trialCriterionIds.Contains(x.ReadingQuestionCriterionTrialId)).Select(x => new TrialQuestion
-            {
-                AnswerCombination = x.AnswerCombination,
-                AnswerGroup = x.AnswerGroup,
-                Id = x.Id,
-                JudgeType = x.JudgeType,
-                ReadingCriterionPageId = x.ReadingCriterionPageId,
-                RelevanceId = x.RelevanceId,
-                RelevanceValue = x.RelevanceValue,
-                ImageCount = x.ImageCount,
-                ParentId = x.ParentId,
-                ReadingQuestionCriterionTrialId = x.ReadingQuestionCriterionTrialId,
-                ReadingQuestionSystemId = x.ReadingQuestionSystemId,
-                SystemParentId = x.SystemParentId
-            }).ToListAsync();
+        //    var trialCriterionIds = trialCriterionList.Select(x => x.Id).ToList();
+        //    var systemQuestionList = await _readingQuestionSystemRepository.Where(x => x.ReadingQuestionCriterionSystemId == systemCriterionId).ToListAsync();
+        //    var trialQuestions = await _readingQuestionTrialRepository.Where(x => trialCriterionIds.Contains(x.ReadingQuestionCriterionTrialId)).Select(x => new TrialQuestion
+        //    {
+        //        AnswerCombination = x.AnswerCombination,
+        //        AnswerGroup = x.AnswerGroup,
+        //        Id = x.Id,
+        //        JudgeType = x.JudgeType,
+        //        ReadingCriterionPageId = x.ReadingCriterionPageId,
+        //        RelevanceId = x.RelevanceId,
+        //        RelevanceValue = x.RelevanceValue,
+        //        ImageCount = x.ImageCount,
+        //        ParentId = x.ParentId,
+        //        ReadingQuestionCriterionTrialId = x.ReadingQuestionCriterionTrialId,
+        //        ReadingQuestionSystemId = x.ReadingQuestionSystemId,
+        //        SystemParentId = x.SystemParentId
+        //    }).ToListAsync();
 
-            List<ReadingQuestionTrial> trialQuestionList = new List<ReadingQuestionTrial>();
-            foreach (var item in trialCriterionList)
-            {
+        //    List<ReadingQuestionTrial> trialQuestionList = new List<ReadingQuestionTrial>();
+        //    foreach (var item in trialCriterionList)
+        //    {
 
-                var thisTrialQuestions = trialQuestions.Where(x => x.ReadingQuestionCriterionTrialId == item.Id).ToList();
+        //        var thisTrialQuestions = trialQuestions.Where(x => x.ReadingQuestionCriterionTrialId == item.Id).ToList();
 
-                var query = systemQuestionList.GroupJoin(thisTrialQuestions, a => a.Id, b => b.ReadingQuestionSystemId, (a, b) => new
-                {
-                    a,
-                    trialQuestion = b
-                }).SelectMany(a => a.trialQuestion, (m, n) => new ReadingQuestionTrial
-                {
-                    Id = n.Id,
+        //        var query = systemQuestionList.GroupJoin(thisTrialQuestions, a => a.Id, b => b.ReadingQuestionSystemId, (a, b) => new
+        //        {
+        //            a,
+        //            trialQuestion = b
+        //        }).SelectMany(a => a.trialQuestion, (m, n) => new ReadingQuestionTrial
+        //        {
+        //            Id = n.Id,
 
-                });
-                var needAddQuestionList = systemQuestionList.GroupJoin(thisTrialQuestions, a => a.Id, b => b.ReadingQuestionSystemId, (x, y) => new { system = x, trial = y })
-                  .SelectMany(
-                  a => a.trial.DefaultIfEmpty(),
-                  (c, d) => new ReadingQuestionTrial
-                  {
-                      Id = (c.trial.FirstOrDefault()?.Id) ?? NewId.NextGuid(),
-                      ShowOrder = c.system.ShowOrder,
-                      SystemParentId = c.system.ParentId,
-                      ReadingQuestionSystemId = c.system.Id,
-                      AnswerCombination = (c.trial.FirstOrDefault()?.AnswerCombination) ?? string.Empty,
-                      AnswerGroup = (c.trial.FirstOrDefault()?.AnswerGroup) ?? string.Empty,
-                      GroupName = c.system.GroupName,
-                      IsEnable = c.system.IsEnable,
+        //        });
+        //        var needAddQuestionList = systemQuestionList.GroupJoin(thisTrialQuestions, a => a.Id, b => b.ReadingQuestionSystemId, (x, y) => new { system = x, trial = y })
+        //          .SelectMany(
+        //          a => a.trial.DefaultIfEmpty(),
+        //          (c, d) => new ReadingQuestionTrial
+        //          {
+        //              Id = (c.trial.FirstOrDefault()?.Id) ?? NewId.NextGuid(),
+        //              ShowOrder = c.system.ShowOrder,
+        //              SystemParentId = c.system.ParentId,
+        //              ReadingQuestionSystemId = c.system.Id,
+        //              AnswerCombination = (c.trial.FirstOrDefault()?.AnswerCombination) ?? string.Empty,
+        //              AnswerGroup = (c.trial.FirstOrDefault()?.AnswerGroup) ?? string.Empty,
+        //              GroupName = c.system.GroupName,
+        //              IsEnable = c.system.IsEnable,
 
-                      ShowQuestion = c.system.ShowQuestion,
-                      IsJudgeQuestion = c.system.IsJudgeQuestion,
-                      IsRequired = c.system.IsRequired,
-                      JudgeType = (c.trial.FirstOrDefault()?.JudgeType) ?? JudgeTypeEnum.None,
-                      ParentId = c.trial.FirstOrDefault()?.ParentId,
-                      ParentTriggerValue = c.system.ParentTriggerValue,
-                      QuestionName = c.system.QuestionName,
-                      ReadingCriterionPageId = c.trial.FirstOrDefault()?.ReadingCriterionPageId,
-                      RelevanceId = c.trial.FirstOrDefault()?.RelevanceId,
-                      ImageCount = c.trial.FirstOrDefault()?.ImageCount ?? 0,
-                      RelevanceValue = c.trial.FirstOrDefault()?.RelevanceValue,
-                      ReadingQuestionCriterionTrialId = item.Id,
-                      Remark = c.system.Remark,
-                      TrialId = item.TrialId,
-                      Type = c.system.Type,
+        //              ShowQuestion = c.system.ShowQuestion,
+        //              IsJudgeQuestion = c.system.IsJudgeQuestion,
+        //              IsRequired = c.system.IsRequired,
+        //              JudgeType = (c.trial.FirstOrDefault()?.JudgeType) ?? JudgeTypeEnum.None,
+        //              ParentId = c.trial.FirstOrDefault()?.ParentId,
+        //              ParentTriggerValue = c.system.ParentTriggerValue,
+        //              QuestionName = c.system.QuestionName,
+        //              ReadingCriterionPageId = c.trial.FirstOrDefault()?.ReadingCriterionPageId,
+        //              RelevanceId = c.trial.FirstOrDefault()?.RelevanceId,
+        //              ImageCount = c.trial.FirstOrDefault()?.ImageCount ?? 0,
+        //              RelevanceValue = c.trial.FirstOrDefault()?.RelevanceValue,
+        //              ReadingQuestionCriterionTrialId = item.Id,
+        //              Remark = c.system.Remark,
+        //              TrialId = item.TrialId,
+        //              Type = c.system.Type,
 
-                      TypeValue = c.system.TypeValue,
-                  }).ToList();
-                var copydata = needAddQuestionList.Clone();
-                needAddQuestionList.ForEach(x =>
-                {
-                    if (x.SystemParentId == null)
-                    {
-                        x.ParentId = null;
-                    }
-                    else
-                    {
-                        x.ParentId = copydata.FirstOrDefault(y => y.ReadingQuestionSystemId == x.SystemParentId).Id;
-                    }
-                });
+        //              TypeValue = c.system.TypeValue,
+        //          }).ToList();
+        //        var copydata = needAddQuestionList.Clone();
+        //        needAddQuestionList.ForEach(x =>
+        //        {
+        //            if (x.SystemParentId == null)
+        //            {
+        //                x.ParentId = null;
+        //            }
+        //            else
+        //            {
+        //                x.ParentId = copydata.FirstOrDefault(y => y.ReadingQuestionSystemId == x.SystemParentId).Id;
+        //            }
+        //        });
 
-                trialQuestionList.AddRange(needAddQuestionList);
-            }
-            await _readingQuestionTrialRepository.BatchDeleteNoTrackingAsync(x => trialCriterionIds.Contains(x.ReadingQuestionCriterionTrialId));
-            await _readingQuestionCriterionTrialRepository.BatchUpdateNoTrackingAsync(x => trialCriterionIds.Contains(x.Id), x => new ReadingQuestionCriterionTrial()
-            {
-                IsEnable = systemCriterion.IsEnable,
-                CriterionName = systemCriterion.CriterionName,
-                ShowOrder = systemCriterion.ShowOrder,
-                IsCompleteConfig = systemCriterion.IsCompleteConfig,
+        //        trialQuestionList.AddRange(needAddQuestionList);
+        //    }
+        //    await _readingQuestionTrialRepository.BatchDeleteNoTrackingAsync(x => trialCriterionIds.Contains(x.ReadingQuestionCriterionTrialId));
+        //    await _readingQuestionCriterionTrialRepository.BatchUpdateNoTrackingAsync(x => trialCriterionIds.Contains(x.Id), x => new ReadingQuestionCriterionTrial()
+        //    {
+        //        IsEnable = systemCriterion.IsEnable,
+        //        CriterionName = systemCriterion.CriterionName,
+        //        ShowOrder = systemCriterion.ShowOrder,
+        //        IsCompleteConfig = systemCriterion.IsCompleteConfig,
 
-            });
+        //    });
 
-            await _readingQuestionTrialRepository.AddRangeAsync(trialQuestionList);
+        //    await _readingQuestionTrialRepository.AddRangeAsync(trialQuestionList);
 
 
-            //
-            await _readingQuestionTrialRepository.SaveChangesAsync();
-        }
+        //    //
+        //    await _readingQuestionTrialRepository.SaveChangesAsync();
+        //}
 
 
         /// <summary>
@@ -1194,87 +1194,87 @@ namespace IRaCIS.Application.Services
             await _readingQuestionTrialRepository.SaveChangesAsync();
         }
 
-        /// <summary>
-        /// 设置父子关系
-        /// </summary>
-        /// <param name="ReadingQuestionCriterionTrialId">项目标准ID</param>
-        /// <param name="trialId">项目Id</param>
-        /// <param name="systemQuesitonList">系统问题</param>
-        /// <param name="needQuestionList">需要添加list</param>
-        private void SetChildParentQuestion(Guid ReadingQuestionCriterionTrialId, Guid trialId, List<ReadingQuestionSystem> systemQuesitonList, List<ReadingQuestionTrial> needQuestionList)
-        {
-            var parentIdIsNullList = systemQuesitonList.Where(x => x.ParentId == null).ToList();
-            parentIdIsNullList.ForEach(x =>
-            {
-                var quesiton = x.Clone();
-                var oldId = quesiton.Id;
-                var newId = NewId.NextGuid();
-                needQuestionList.Add(new ReadingQuestionTrial()
-                {
-                    Id = newId,
-                    ShowOrder = quesiton.ShowOrder,
-                    IsEnable = quesiton.IsEnable,
-                    IsRequired = quesiton.IsRequired,
-                    ParentTriggerValue = quesiton.ParentTriggerValue,
-                    QuestionName = quesiton.QuestionName,
-                    ReadingQuestionCriterionTrialId = ReadingQuestionCriterionTrialId,
-                    ReadingQuestionSystemId = quesiton.Id,
-                    SystemParentId = quesiton.ParentId,
-                    TrialId = trialId,
-                    AnswerGroup = string.Empty,
-                    Type = quesiton.Type,
-                    GroupName = quesiton.GroupName,
-                    IsJudgeQuestion = quesiton.IsJudgeQuestion,
-                    Remark = quesiton.Remark,
-                    TypeValue = quesiton.TypeValue,
-                });
+        ///// <summary>
+        ///// 设置父子关系
+        ///// </summary>
+        ///// <param name="ReadingQuestionCriterionTrialId">项目标准ID</param>
+        ///// <param name="trialId">项目Id</param>
+        ///// <param name="systemQuesitonList">系统问题</param>
+        ///// <param name="needQuestionList">需要添加list</param>
+        //private void SetChildParentQuestion(Guid ReadingQuestionCriterionTrialId, Guid trialId, List<ReadingQuestionSystem> systemQuesitonList, List<ReadingQuestionTrial> needQuestionList)
+        //{
+        //    var parentIdIsNullList = systemQuesitonList.Where(x => x.ParentId == null).ToList();
+        //    parentIdIsNullList.ForEach(x =>
+        //    {
+        //        var quesiton = x.Clone();
+        //        var oldId = quesiton.Id;
+        //        var newId = NewId.NextGuid();
+        //        needQuestionList.Add(new ReadingQuestionTrial()
+        //        {
+        //            Id = newId,
+        //            ShowOrder = quesiton.ShowOrder,
+        //            IsEnable = quesiton.IsEnable,
+        //            IsRequired = quesiton.IsRequired,
+        //            ParentTriggerValue = quesiton.ParentTriggerValue,
+        //            QuestionName = quesiton.QuestionName,
+        //            ReadingQuestionCriterionTrialId = ReadingQuestionCriterionTrialId,
+        //            ReadingQuestionSystemId = quesiton.Id,
+        //            SystemParentId = quesiton.ParentId,
+        //            TrialId = trialId,
+        //            AnswerGroup = string.Empty,
+        //            Type = quesiton.Type,
+        //            GroupName = quesiton.GroupName,
+        //            IsJudgeQuestion = quesiton.IsJudgeQuestion,
+        //            Remark = quesiton.Remark,
+        //            TypeValue = quesiton.TypeValue,
+        //        });
 
-                CreateQuestionRelation(ReadingQuestionCriterionTrialId, trialId, oldId, newId, systemQuesitonList, needQuestionList);
-            });
-        }
+        //        CreateQuestionRelation(ReadingQuestionCriterionTrialId, trialId, oldId, newId, systemQuesitonList, needQuestionList);
+        //    });
+        //}
 
-        /// <summary>
-        /// 递归处理父子关系
-        /// </summary>
-        /// <param name="ReadingQuestionCriterionTrialId"></param>
-        /// <param name="trialId"></param>
-        /// <param name="oldParentId"></param>
-        /// <param name="newParentId"></param>
-        /// <param name="systemQuesitonList"></param>
-        /// <param name="needQuestionList"></param>
-        private void CreateQuestionRelation(Guid ReadingQuestionCriterionTrialId, Guid trialId, Guid oldParentId, Guid newParentId, List<ReadingQuestionSystem> systemQuesitonList, List<ReadingQuestionTrial> needQuestionList)
-        {
-            var childList = systemQuesitonList.Where(x => x.ParentId == oldParentId).ToList();
-            childList.ForEach(x =>
-            {
-                var quesiton = x.Clone();
-                var oldId = quesiton.Id;
-                var newId = NewId.NextGuid();
-                needQuestionList.Add(new ReadingQuestionTrial()
-                {
-                    Id = newId,
-                    ShowOrder = quesiton.ShowOrder,
-                    IsEnable = quesiton.IsEnable,
-                    IsRequired = quesiton.IsRequired,
-                    ParentId = newParentId,
-                    SystemParentId = quesiton.ParentId,
-                    ReadingQuestionSystemId = x.Id,
-                    AnswerGroup = string.Empty,
-                    ParentTriggerValue = quesiton.ParentTriggerValue,
-                    QuestionName = quesiton.QuestionName,
-                    ReadingQuestionCriterionTrialId = ReadingQuestionCriterionTrialId,
-                    TrialId = trialId,
-                    GroupName = quesiton.GroupName,
-                    Type = quesiton.Type,
-                    IsJudgeQuestion = quesiton.IsJudgeQuestion,
-                    Remark = quesiton.Remark,
-                    TypeValue = quesiton.TypeValue,
-                });
+        ///// <summary>
+        ///// 递归处理父子关系
+        ///// </summary>
+        ///// <param name="ReadingQuestionCriterionTrialId"></param>
+        ///// <param name="trialId"></param>
+        ///// <param name="oldParentId"></param>
+        ///// <param name="newParentId"></param>
+        ///// <param name="systemQuesitonList"></param>
+        ///// <param name="needQuestionList"></param>
+        //private void CreateQuestionRelation(Guid ReadingQuestionCriterionTrialId, Guid trialId, Guid oldParentId, Guid newParentId, List<ReadingQuestionSystem> systemQuesitonList, List<ReadingQuestionTrial> needQuestionList)
+        //{
+        //    var childList = systemQuesitonList.Where(x => x.ParentId == oldParentId).ToList();
+        //    childList.ForEach(x =>
+        //    {
+        //        var quesiton = x.Clone();
+        //        var oldId = quesiton.Id;
+        //        var newId = NewId.NextGuid();
+        //        needQuestionList.Add(new ReadingQuestionTrial()
+        //        {
+        //            Id = newId,
+        //            ShowOrder = quesiton.ShowOrder,
+        //            IsEnable = quesiton.IsEnable,
+        //            IsRequired = quesiton.IsRequired,
+        //            ParentId = newParentId,
+        //            SystemParentId = quesiton.ParentId,
+        //            ReadingQuestionSystemId = x.Id,
+        //            AnswerGroup = string.Empty,
+        //            ParentTriggerValue = quesiton.ParentTriggerValue,
+        //            QuestionName = quesiton.QuestionName,
+        //            ReadingQuestionCriterionTrialId = ReadingQuestionCriterionTrialId,
+        //            TrialId = trialId,
+        //            GroupName = quesiton.GroupName,
+        //            Type = quesiton.Type,
+        //            IsJudgeQuestion = quesiton.IsJudgeQuestion,
+        //            Remark = quesiton.Remark,
+        //            TypeValue = quesiton.TypeValue,
+        //        });
 
-                CreateQuestionRelation(ReadingQuestionCriterionTrialId, trialId, oldId, newId, systemQuesitonList, needQuestionList);
-            });
+        //        CreateQuestionRelation(ReadingQuestionCriterionTrialId, trialId, oldId, newId, systemQuesitonList, needQuestionList);
+        //    });
 
-        }
+        //}
 
 
         #region 废弃
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
index f454c98e..cdc49682 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
@@ -118,7 +118,7 @@ namespace IRaCIS.Application.Services
                   .Select(y => new GlobalQuestionInfo()
                   {
                       QuestionId = y.ReadingQuestionTrialId,
-                      QuestionName = y.ReadingQuestionTrial.QuestionName,
+                      QuestionName = y.ReadingQuestionTrial.QuestionName.LanguageName(y.ReadingQuestionTrial.QuestionEnName, _userInfo.IsEn_Us),
                       AnswerGroup = y.ReadingQuestionTrial.AnswerGroup,
                       QuestionType = y.ReadingQuestionTrial.QuestionType,
                       QuestionGenre = y.ReadingQuestionTrial.QuestionGenre,
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 67112c84..17e5eea2 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -388,7 +388,10 @@ namespace IRaCIS.Application.Services
                 .WhereIf(criterionIdInfo.IseCRFShowInDicomReading, x => x.ReadingQuestionCriterionTrialId == trialReadingCriterionId && x.Type != ReadingQestionType.Table)
                 .WhereIf(!criterionIdInfo.IseCRFShowInDicomReading, x => x.IsShowInDicom && x.ReadingQuestionCriterionTrialId == trialReadingCriterionId && x.Type != ReadingQestionType.Table)
 
-                .ProjectTo<DicomReadingQuestionAnswer>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync();
+                .ProjectTo<DicomReadingQuestionAnswer>(_mapper.ConfigurationProvider,new{
+                    isEn_Us=_userInfo.IsEn_Us
+
+                }).OrderBy(x => x.ShowOrder).ToListAsync();
 
 
             var answers = new List<ReadingTaskQuestionAnswer>();
@@ -569,7 +572,11 @@ namespace IRaCIS.Application.Services
         {
             var criterionInfo = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == inDto.TrialReadingCriterionId).FirstNotNullAsync();
 
-            var qusetionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId).ProjectTo<TrialReadQuestionData>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync();
+            var qusetionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId).ProjectTo<TrialReadQuestionData>(_mapper.ConfigurationProvider,new {
+
+                isEn_Us=_userInfo.IsEn_Us
+
+            }).OrderBy(x => x.ShowOrder).ToListAsync();
 
          
             //是否是预览
@@ -697,7 +704,7 @@ namespace IRaCIS.Application.Services
                     ParentId = item.Id,
                     DataTableColumn = x.DataTableColumn,
                     LesionType = item.LesionType,
-                    QuestionName = x.QuestionName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     RelationQuestions = new List<GetTrialReadingQuestionOutDto>(),
                     Remark = x.Remark,
                     ValueType = x.ValueType,
@@ -1133,7 +1140,7 @@ namespace IRaCIS.Application.Services
                             catch (Exception)
                             {
 
-                                msg = _localizer["ReadingImage_Maximum", item.QuestionName, item.MaxRowCount.Value, rowCount] ;
+                                msg = _localizer["ReadingImage_Maximum", item.QuestionName.LanguageName(item.QuestionEnName, _userInfo.IsEn_Us), item.MaxRowCount.Value, rowCount] ;
                             }
 
                             throw new BusinessValidationFailedException(msg);
@@ -1354,7 +1361,7 @@ namespace IRaCIS.Application.Services
 
             if (readingQuestionList.Count() > 0)
             {
-                throw new BusinessValidationFailedException(_localizer["ReadingImage_RequiredQuestion", string.Join(',', readingQuestionList.Select(x => x.QuestionName))]);
+                throw new BusinessValidationFailedException(_localizer["ReadingImage_RequiredQuestion", string.Join(',', readingQuestionList.Select(x => x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us)))]);
             }
             return ResponseOutput.Ok(true);
         }
@@ -1381,7 +1388,7 @@ namespace IRaCIS.Application.Services
 
             if (readingQuestionList.Count() > 0)
             {
-                throw new BusinessValidationFailedException(_localizer["ReadingImage_RequiredQuestion", string.Join(',', readingQuestionList.Select(x => x.QuestionName))]);
+                throw new BusinessValidationFailedException(_localizer["ReadingImage_RequiredQuestion", string.Join(',', readingQuestionList.Select(x => x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us)))]);
             }
 
             await _readingCalculateService.VerifyVisitTaskQuestions(inDto);
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
index 8756c5cc..589c1e9a 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
@@ -38,7 +38,7 @@ namespace IRaCIS.Application.Services
                 {
                     AnswerGroup = JsonConvert.DeserializeObject<List<string>>(x.AnswerGroup.IsNullOrEmpty() ? "[]" : x.AnswerGroup),
                     AnswerCombination = JsonConvert.DeserializeObject<List<AnswerCombinationDto>>(x.AnswerCombination.IsNullOrEmpty() ? "[]" : x.AnswerCombination),
-                    QuestionName = x.QuestionName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     PageName = x.ReadingCriterionPage.PageName,
                     TypeValue = x.TypeValue,
                     QuestionGenre=x.QuestionGenre,
@@ -147,7 +147,7 @@ namespace IRaCIS.Application.Services
                                 ShowOrder = x.ReadingQuestionTrial.ShowOrder,
                                 VisitTaskId = x.VisitTaskId,
                                 QuestionId = x.ReadingQuestionTrial.Id,
-                                QuestionName = x.ReadingQuestionTrial.QuestionName,
+                                QuestionName = x.ReadingQuestionTrial.QuestionName.LanguageName(x.ReadingQuestionTrial.QuestionEnName, _userInfo.IsEn_Us),
                                 QuestionGenre = x.ReadingQuestionTrial.QuestionGenre,
                                 DictionaryCode = x.ReadingQuestionTrial.DictionaryCode,
 
@@ -206,7 +206,7 @@ namespace IRaCIS.Application.Services
                             {
                                 Answer = x.Answer,
                                 QuestionId = x.ReadingQuestionTrial.Id,
-                                QuestionName = x.ReadingQuestionTrial.QuestionName,
+                                QuestionName = x.ReadingQuestionTrial.QuestionName.LanguageName(x.ReadingQuestionTrial.QuestionEnName, _userInfo.IsEn_Us),
                                 QuestionGenre = x.ReadingQuestionTrial.QuestionGenre,
                                 DictionaryCode = x.ReadingQuestionTrial.DictionaryCode,
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingTaskQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingTaskQuestionService.cs
index ac26a7ba..198ab10c 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingTaskQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingTaskQuestionService.cs
@@ -65,7 +65,11 @@ namespace IRaCIS.Application.Services
 
             var qusetionIds = qusetionList.Select(x => x.Id).ToList();
             var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => qusetionIds.Contains(x.ReadingQuestionId))
-                .ProjectTo<TableQuestionDataInfo>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync();
+                .ProjectTo<TableQuestionDataInfo>(_mapper.ConfigurationProvider,x=>new {
+
+                    isEn_Us=_userInfo.IsEn_Us
+
+                }).OrderBy(x => x.ShowOrder).ToListAsync();
             if (inDto.FormType != null)
             {
                 formType = inDto.FormType.Value;
@@ -149,7 +153,7 @@ namespace IRaCIS.Application.Services
                             Type = data.Type,
                             ParentTriggerValue = data.ParentTriggerValue,
                             GroupName = data.GroupName,
-                            QuestionName = data.QuestionName,
+                            QuestionName = data.QuestionName.LanguageName(data.QuestionEnName, _userInfo.IsEn_Us),
                             IsRequired = data.IsRequired,
                             ShowQuestion = data.ShowQuestion,
                             LesionType = data.LesionType,
@@ -273,7 +277,9 @@ namespace IRaCIS.Application.Services
 
             var questionIds = qusetionList.Select(x => x.Id).ToList();
             var tableQuestionList = await _readingTableQuestionSystemRepository.Where(x => questionIds.Contains(x.ReadingQuestionId))
-                 .ProjectTo<TableQuestionDataInfo>(_mapper.ConfigurationProvider).OrderBy(x => x.ShowOrder).ToListAsync();
+                 .ProjectTo<TableQuestionDataInfo>(_mapper.ConfigurationProvider,new {
+                     isEn_Us=_userInfo.IsEn_Us,
+                 }).OrderBy(x => x.ShowOrder).ToListAsync();
 
             var groupList = new List<GetSystemReadingQuestionOutDto>();
 
diff --git a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
index 6d615aa2..b04928dd 100644
--- a/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/Reading/_MapConfig.cs
@@ -11,6 +11,11 @@ namespace IRaCIS.Core.Application.Service
     {
         public ReadingConfig()
         {
+
+
+            //是否英文环境
+            var isEn_Us=false;
+
             CreateMap<ReadingPeriodSetAddOrEdit, ReadingPeriodSet>();
 
             CreateMap<AddOrUpdateTumorAssessmentInDto, TumorAssessment>();
@@ -78,8 +83,10 @@ namespace IRaCIS.Core.Application.Service
 
             #region 阅片问题
 
+            
             // 忽略列
             CreateMap<ReadingQuestionTrial, DicomReadingQuestionAnswer>()
+                    .ForMember(d => d.QuestionName, u => u.MapFrom(s => isEn_Us?s.QuestionEnName:s.QuestionName))
                  .ForMember(dest => dest.ReadingCriterionPage, opt => opt.Ignore())
                  .ForMember(dest => dest.ParentReadingQuestionTrial, opt => opt.Ignore())
                  .ForMember(dest => dest.RelevanceReadingQuestionTrial, opt => opt.Ignore())
@@ -100,13 +107,15 @@ namespace IRaCIS.Core.Application.Service
                  .ForMember(d => d.ShowOrder, u => u.MapFrom(s => s.ReadingQuestionTrial.ShowOrder));
 
             CreateMap<ReadingQuestionTrial, TrialReadQuestionData>()
+                  .ForMember(d => d.QuestionName, u => u.MapFrom(s => isEn_Us ? s.QuestionEnName : s.QuestionName))
                 .ForMember(d => d.PageShowOrder, u => u.MapFrom(s => s.ReadingCriterionPage.ShowOrder))
                 .ForMember(d => d.PageName, u => u.MapFrom(s => s.ReadingCriterionPage.PageName))
                 .ForMember(d => d.IsPublicPage, u => u.MapFrom(s => s.ReadingCriterionPage.IsPublicPage));
             CreateMap<ReadingQuestionSystem, GetSystemReadingQuestionOutDto>();
 
             CreateMap<ReadingTableQuestionSystem, TableQuestionDataInfo>();
-            CreateMap<ReadingTableQuestionTrial, TableQuestionDataInfo>();
+            CreateMap<ReadingTableQuestionTrial, TableQuestionDataInfo>()
+                 .ForMember(d => d.QuestionName, u => u.MapFrom(s => isEn_Us ? s.QuestionEnName : s.QuestionName));
 
             CreateMap<ReadingTableQuestionSystem, ReadingTableQuestionSystemView>()
                     .ForMember(d => d.DependShowOrder, u => u.MapFrom(s => s.DependParentQuestion.ShowOrder));
@@ -179,6 +188,7 @@ namespace IRaCIS.Core.Application.Service
 
             #region IR阅片
             CreateMap<ReadingQuestionTrial, GetTrialReadingQuestionOutDto>()
+                  .ForMember(d => d.QuestionName, u => u.MapFrom(s => isEn_Us ? s.QuestionEnName : s.QuestionName))
                 .ForMember(x=>x.Id, y=>y.MapFrom(z=>z.Id));
 
             CreateMap<VisitTask, GetReadingPastResultListOutDto>()
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/GeneralCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/GeneralCalculateService.cs
index 3296f7e1..cee011d6 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/GeneralCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/GeneralCalculateService.cs
@@ -1,5 +1,6 @@
 using IRaCIS.Core.Application.Service.Reading.Dto;
 using IRaCIS.Core.Domain.Share;
+using IRaCIS.Core.Infra.EFCore.Common;
 using System;
 using System.Collections.Generic;
 using System.Linq;
@@ -69,7 +70,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 LesionType = x.LesionType,
                 QuestionId = x.Id,
-                QuesionName = x.QuestionName,
+                QuesionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                 QuestionType = x.QuestionType,
                 ValueType = x.ValueType,
             }).ToListAsync();
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index acc6fe9a..8820497e 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -140,6 +140,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 QuestionId = x.Id,
                 GroupName = x.GroupName,
+                GroupEnName=x.GroupEnName,
                 IsShowInDicom = x.IsShowInDicom,
                 Type = x.Type,
                 QuestionType = x.QuestionType,
@@ -148,7 +149,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 DataSource = x.DataSource,
                 DictionaryCode = x.DictionaryCode,
                 TypeValue = x.TypeValue,
-                QuestionName = x.QuestionName,
+                QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                 ShowOrder = x.ShowOrder,
                 ValueType = x.ValueType,
                 CustomUnit=x.CustomUnit,
@@ -163,9 +164,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 item.Childrens = questionList.Where(x => x.GroupName == item.GroupName && x.Type != ReadingQestionType.Group).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto()
                 {
                     GroupName = x.GroupName,
+                    GroupEnName=x.GroupEnName,
                     QuestionId = x.Id,
                     IsShowInDicom = x.IsShowInDicom,
-                    QuestionName = x.QuestionName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     LesionType = x.LesionType,
                     QuestionGenre = x.QuestionGenre,
                     DataSource = x.DataSource,
@@ -222,7 +224,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                         // tableQuestion
                         row.Childrens = tableQuestionList.Where(x => x.ReadingQuestionId == question.QuestionId).Select(x => new ReadingReportDto()
                         {
-                            QuestionName = x.QuestionName,
+                            QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                             QuestionId = x.ReadingQuestionId,
                             TableQuestionId = x.Id,
                             Type = x.Type,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
index 601f88ca..c465a860 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
@@ -120,6 +120,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 QuestionId = x.Id,
                 GroupName = x.GroupName,
+                GroupEnName=x.GroupName,
                 IsShowInDicom = x.IsShowInDicom,
                 Type = x.Type,
                 QuestionType = x.QuestionType,
@@ -128,7 +129,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 DataSource = x.DataSource,
                 DictionaryCode = x.DictionaryCode,
                 TypeValue = x.TypeValue,
-                QuestionName = x.QuestionName,
+                QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                 ShowOrder = x.ShowOrder,
                 ValueType = x.ValueType,
                 Unit = x.Unit,
@@ -144,7 +145,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     GroupName = x.GroupName,
                     QuestionId = x.Id,
                     IsShowInDicom = x.IsShowInDicom,
-                    QuestionName = x.QuestionName,
+                    GroupEnName=x.GroupEnName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     LesionType = x.LesionType,
                     QuestionGenre = x.QuestionGenre,
                     DataSource = x.DataSource,
@@ -199,12 +201,13 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                         // tableQuestion
                         row.Childrens = tableQuestionList.Where(x => x.ReadingQuestionId == question.QuestionId).Select(x => new ReadingReportDto()
                         {
-                            QuestionName = x.QuestionName,
+                            QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                             QuestionId = x.ReadingQuestionId,
                             TableQuestionId = x.Id,
                             Type = x.Type,
                             LesionType = question.LesionType,
                             TableQuestionType = x.TableQuestionType,
+                            
                             DataSource = x.DataSource,
                             DictionaryCode = x.DictionaryCode,
                             QuestionMark = x.QuestionMark,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/SelfDefineCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/SelfDefineCalculateService.cs
index 5295f6c0..a7ab89b5 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/SelfDefineCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/SelfDefineCalculateService.cs
@@ -119,14 +119,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 GroupName = x.GroupName,
                 IsShowInDicom = x.IsShowInDicom,
                 Type = x.Type,
-             
+                GroupEnName=x.GroupEnName,
                 QuestionType = x.QuestionType,
                 DataSource=   x.DataSource,
                 LesionType = x.LesionType,
                 QuestionGenre = x.QuestionGenre,
                 DictionaryCode = x.DictionaryCode,
                 TypeValue = x.TypeValue,
-                QuestionName = x.QuestionName,
+                QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                 ShowOrder = x.ShowOrder,
                 ValueType = x.ValueType,
                 Unit = x.Unit,
@@ -142,10 +142,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     GroupName = x.GroupName,
                     QuestionId = x.Id,
                     IsShowInDicom = x.IsShowInDicom,
-                    QuestionName = x.QuestionName,
+                    QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                     LesionType = x.LesionType,
                     DataSource = x.DataSource,
                     QuestionGenre = x.QuestionGenre,
+                    GroupEnName=x.GroupEnName,
                     DictionaryCode = x.DictionaryCode,
                     Type = x.Type,
                     QuestionType = x.QuestionType,
@@ -197,7 +198,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                         // tableQuestion
                         row.Childrens = tableQuestionList.Where(x => x.ReadingQuestionId == question.QuestionId).Select(x => new ReadingReportDto()
                         {
-                            QuestionName = x.QuestionName,
+                            QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                             QuestionId = x.ReadingQuestionId,
                             TableQuestionId = x.Id,
                             Type = x.Type,
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index da15cbe2..2f05b1cd 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -353,7 +353,7 @@ namespace IRaCIS.Core.Application
                   JudgeType = x.JudgeType,
                   QuestionId = x.Id,
                   PageName=x.ReadingCriterionPage.PageName,
-                  QuestionName = x.QuestionName,
+                  QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us),
                   ReadingQuestionCriterionTrialId = x.ReadingQuestionCriterionTrialId
               }).ToListAsync();