diff --git a/IRaCIS.Core.Application/_MediatR/Handlers/ConsistencyVerificationHandler.cs b/IRaCIS.Core.Application/_MediatR/Handlers/ConsistencyVerificationHandler.cs
index 4fddb69c5..3294818d2 100644
--- a/IRaCIS.Core.Application/_MediatR/Handlers/ConsistencyVerificationHandler.cs
+++ b/IRaCIS.Core.Application/_MediatR/Handlers/ConsistencyVerificationHandler.cs
@@ -4,6 +4,7 @@ using IRaCIS.Core.Domain.Share;
 
 using MediatR;
 using System.Linq.Expressions;
+using System.Text;
 
 namespace IRaCIS.Core.Application.MediatR.Handlers
 {
@@ -99,50 +100,91 @@ namespace IRaCIS.Core.Application.MediatR.Handlers
                 var etcVisitStudyList = etcList.Where(t => t.SubjectCode == sv.SubjectCode && t.SiteCode == sv.SiteCode && t.VisitName == sv.VisitName).ToList();
                 var dbVisitStudyList = dbCheckList.Where(t => t.SubjectCode == sv.SubjectCode && t.SiteCode == sv.SiteCode && t.VisitName == sv.VisitName).ToList();
 
+
+                StringBuilder dialogMsg = new StringBuilder();
+                dialogMsg.Append("你好根据本系统自动像识别，该受者本访视已提交的像检查情况如下：");
+                var num = 0;
+                foreach (var item in sv.StudyList)
+                {
+                    num++;
+                    dialogMsg.AppendLine($"<br>{num}.{item.StudyDate}{item.Modality}");
+                }
+
                 var dbSV = await _subjectVisitRepository.FirstOrDefaultAsync(t => t.Id == sv.SubjectVisitId).IfNullThrowException();
 
                 if (etcVisitStudyList.Count == 0)
                 {
 
+                    dialogMsg.AppendLine($"<br>存在问题如下：");
+                    num = 0;
+                    foreach (var item in sv.StudyList)
+                    {
+                        num++;
+                        dialogMsg.AppendLine($"<br>{num}.{item.StudyDate}{item.Modality} 在导入模板中不存在 不存在！");
+                    }
+
+                    dialogMsg.AppendLine(@$"<br>说明：为高效解决/处理以上全部质疑问题，麻烦您准确核实实际影像检查情况。请注意影像日期与实际检查的日期可能会不一致，部分检查（如PET -CT)可能同时存在多种模态影像。准确核实后，请回复该访视正确的影像检查情况。");
+
                     dbSV.CheckResult = "当前访视在EDC表中未找到数据,请核对 SubjectCode、 SiteCode 、VisitName 是否和ETC系统保持一致";
                     dbSV.CheckState = CheckStateEnum.CVIng;
                     dbSV.ForwardState = ForwardStateEnum.ToForward;
                     dbSV.CheckChallengeState = CheckChanllengeTypeEnum.PMWaitCRCReply;
-                    dbSV.CheckChallengeDialogList.Add(new CheckChallengeDialog() { SubjectVisitId = sv.SubjectVisitId, TalkContent = dbSV.CheckResult, UserTypeEnum = (UserTypeEnum)_userInfo.UserTypeEnumInt,CreateTime=DateTime.Now });
+                    dbSV.CheckChallengeDialogList.Add(new CheckChallengeDialog() { SubjectVisitId = sv.SubjectVisitId, TalkContent = dialogMsg.ToString(), UserTypeEnum = (UserTypeEnum)_userInfo.UserTypeEnumInt,CreateTime=DateTime.Now });
                 }
                 else
                 {
                     //etc 和数据库 并集
                     var unionList = dbVisitStudyList.Union(etcVisitStudyList);
+                    // 数据库存在
                     var dbExceptExcel = dbVisitStudyList.Except(etcVisitStudyList);
+
+                    // excel 存在
                     var excelExceptDB = etcVisitStudyList.Except(dbCheckList);
 
                     //两者没有差别
                     if (dbExceptExcel.Count() == 0)
                     {
+
+                        dialogMsg.AppendLine($"核对EDC数据，完全一致, 审核通过");
+                        dialogMsg.AppendLine(@$"<br>说明：为高效解决/处理以上全部质疑问题，麻烦您准确核实实际影像检查情况。请注意影像日期与实际检查的日期可能会不一致，部分检查（如PET -CT)可能同时存在多种模态影像。准确核实后，请回复该访视正确的影像检查情况。");
                         dbSV.CheckState = CheckStateEnum.CVPassed;
                         dbSV.CheckPassedTime = DateTime.Now;
                         dbSV.CheckResult = "核对EDC数据，完全一致";
                         dbSV.ManualPassReason = "自动核查通过";
                         dbSV.RequestBackState = dbSV.RequestBackState== RequestBackStateEnum.CRC_RequestBack? RequestBackStateEnum.PM_NotAgree: RequestBackStateEnum.NotRequest;
-                        dbSV.CheckChallengeDialogList.Add(new CheckChallengeDialog() { SubjectVisitId = sv.SubjectVisitId, TalkContent = dbSV.CheckResult, UserTypeEnum = (UserTypeEnum)_userInfo.UserTypeEnumInt, CreateTime = DateTime.Now });
+                        dbSV.CheckChallengeDialogList.Add(new CheckChallengeDialog() { SubjectVisitId = sv.SubjectVisitId, TalkContent = dialogMsg.ToString(), UserTypeEnum = (UserTypeEnum)_userInfo.UserTypeEnumInt, CreateTime = DateTime.Now });
                     }
                     else
                     {
+
+                        dialogMsg.AppendLine($"<br>存在问题如下：");
+
+                        num = 0;
+                        foreach (var item in dbExceptExcel)
+                        {
+                            num++;
+                            dialogMsg.AppendLine($"<br>{num}.EDC 缺少{item.StudyDate}{item.Modality} ！");
+                        }
+
+                        foreach (var item in excelExceptDB)
+                        {
+                            num++;
+                            dialogMsg.AppendLine($"<br>{num}.IRC 缺少{item.StudyDate}{item.Modality} ！");
+                        }
+
+
+                        dialogMsg.AppendLine(@$"<br>说明：为高效解决/处理以上全部质疑问题，麻烦您准确核实实际影像检查情况。请注意影像日期与实际检查的日期可能会不一致，部分检查（如PET -CT)可能同时存在多种模态影像。准确核实后，请回复该访视正确的影像检查情况。");
+
                         dbSV.CheckResult = "根据导入的一致性核查数据，请确认本访视以下不一致检查项信息：" + String.Join(" | ", dbExceptExcel.Select(t => $"EDC 缺少：{t.StudyDate} {t.Modality} ")) + "  |  "
                           + String.Join(" | ", excelExceptDB.Select(t => $"IRC 缺少：{t.StudyDate} {t.Modality}"));
                         //新增一致性核查质疑记录
                        
 
-
-
-
-
                         dbSV.CheckState = CheckStateEnum.CVIng;
                         dbSV.CheckChallengeState = CheckChanllengeTypeEnum.PMWaitCRCReply;
 
                         //讲核查结果发送消息给CRC
-                        dbSV.CheckChallengeDialogList.Add(new CheckChallengeDialog() { SubjectVisitId = sv.SubjectVisitId, TalkContent = dbSV.CheckResult, UserTypeEnum = (UserTypeEnum)_userInfo.UserTypeEnumInt, CreateTime = DateTime.Now });
+                        dbSV.CheckChallengeDialogList.Add(new CheckChallengeDialog() { SubjectVisitId = sv.SubjectVisitId, TalkContent = dialogMsg.ToString(), UserTypeEnum = (UserTypeEnum)_userInfo.UserTypeEnumInt, CreateTime = DateTime.Now });
                     }
 
                 }