diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
index 1d0929520..98b07fd7f 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
@@ -1374,8 +1374,21 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
                         foreach (var item in recistTableAnswers)
                         {
+                            var rowinfo = tableRowAnswers.Where(y => y.OriginalId == item.RowId).FirstOrDefault();
+                            if (rowinfo != null)
+                            {
+                                item.QuestionId = rowinfo.QuestionId;
 
-                            item.QuestionId = tableRowAnswers.Where(y => y.OriginalId == item.RowId).Select(x => x.QuestionId).FirstOrDefault();
+                                var IslymphNode= recistTableAnswers.Where(x=>x.RowId== rowinfo.Id&&x.QuestionMark==QuestionMark.IsLymph).Select(x=>x.Answer).FirstIsNullReturnEmpty().EqEnum(YesOrNoOrNa.Yes);
+                                var minorAxis= recistTableAnswers.Where(x => x.RowId == rowinfo.Id && x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstIsNullReturnEmpty().IsNullOrEmptyReturn0();
+                                
+                                var iSbetween15and20= minorAxis >= 15 && minorAxis < 20;
+                                if (item.QuestionMark == QuestionMark.State && IslymphNode && iSbetween15and20 && rowinfo.LesionType == LesionType.TargetLesion)
+                                {
+                                    item.Answer = string.Empty;
+                                }
+                            }
+                          
 
                             item.TableQuestionId = tableQuestionList.Where(x => x.ReadingQuestionId == item.QuestionId && x.QuestionMark == item.QuestionMark).Select(x => x.Id).FirstOrDefault();
                         }
@@ -1386,6 +1399,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                         {
 
                         };
+                     
                         var tableAnswers = recistTableAnswers.Select(x => new ReadingTableQuestionAnswer
                         {
                             Id = NewId.NextGuid(),