diff --git a/IRaCIS.Core.API/wwwroot/WorkTemplate/ReadReoprtTemplate.docx b/IRaCIS.Core.API/wwwroot/WorkTemplate/ReadReoprtTemplate.docx
new file mode 100644
index 000000000..a712bb8a4
Binary files /dev/null and b/IRaCIS.Core.API/wwwroot/WorkTemplate/ReadReoprtTemplate.docx differ
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 87c7331fe..4b29d25d2 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -2686,9 +2686,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 				
 			}
 
-            //PET5ps评分改变时，才计算
+			var existPET = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ExistPET).Select(x => x.Answer).FirstOrDefault();
+			//本访视无PET图像
+			if (existPET.EqEnum(ReadingYesOrNo.No))
+			{
+				return SUVChangeVSBaseline.NotEvaluable.GetEnumInt();
+			}
 
-            List<QuestionType?> needSearchTypes = new List<QuestionType?>()
+			//PET5ps评分改变时，才计算
+
+			List<QuestionType?> needSearchTypes = new List<QuestionType?>()
             {
                 QuestionType.PET5PS,
                 QuestionType.UptakeChange,
@@ -2716,12 +2723,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 return SUVChangeVSBaseline.NA.GetEnumInt();
             }
-
-            if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
-            {
-                return SUVChangeVSBaseline.NotEvaluable.GetEnumInt();
-            }
-
+           
             var result = SUVChangeVSBaseline.NotEvaluable;
             var baseLineTaskId = await GetBaseLineTaskId(inDto);
 
@@ -2730,17 +2732,24 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 return string.Empty;
             }
-            var baseLinePET5PS = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
+
+            var baseLinePET5PSValue = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstOrDefaultAsync();
 
 
-            var existPET = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ExistPET).Select(x => x.Answer).FirstOrDefault();
-            //本访视无PET图像
-            if (existPET.EqEnum(ReadingYesOrNo.No))
-            {
-                result = SUVChangeVSBaseline.NotEvaluable;
-            }
-            //本访视PET评分>基线PET评分
-            else if (PET5PS > baseLinePET5PS)
+			var baseLinePET5PS = baseLinePET5PSValue.IsNullOrEmptyReturn0();
+
+          
+
+			
+
+			// 基线为NE或者X 为空
+			if (baseLinePET5PSValue.EqEnum(PET5PSScore.X) || baseLinePET5PSValue.EqEnum(PET5PSScore.NE))
+			{
+				return string.Empty;
+			}
+
+			//本访视PET评分>基线PET评分
+			else if (PET5PS > baseLinePET5PS)
             {
                 result = SUVChangeVSBaseline.Increase;
             }