diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
index 4a1c64ea1..e832ac92e 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
@@ -867,30 +867,45 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                         TrialId = x.TrialId,
                     }).ToListAsync();
 
-                    foreach (var item in recistTableAnswers)
-                    {
-                      
-                        item.QuestionId = tableRowAnswers.Where(y => y.OriginalId == item.RowId).Select(x => x.QuestionId).FirstOrDefault();
-                        item.TableQuestionId = tableQuestionList.Where(x => x.ReadingQuestionId == item.QuestionId && x.QuestionMark == item.QuestionMark).Select(x => x.Id).FirstOrDefault();
-                    }
+                        foreach (var item in recistTableAnswers)
+                        {
+                            var rowinfo = tableRowAnswers.Where(y => y.OriginalId == item.RowId).FirstOrDefault();
+                            if (rowinfo != null)
+                            {
+                                item.QuestionId = rowinfo.QuestionId;
+
+                                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();
+                        }
 
                     recistTableAnswers = recistTableAnswers.Where(x => x.TableQuestionId != default(Guid)).ToList();
 
-                    List<QuestionMark?> notNeedCopyMarks = new List<QuestionMark?>()
-                    {
-                      
-                    };
-                    var tableAnswers = recistTableAnswers.Select(x => new ReadingTableQuestionAnswer
-                    {
-                        Id = NewId.NextGuid(),
-                        Answer = notNeedCopyMarks.Contains(x.QuestionMark) ? string.Empty : x.Answer,
-                        QuestionId = x.QuestionId,
-                        RowIndex = x.RowIndex,
-                        RowId = tableRowAnswers.Where(y => y.OriginalId == x.RowId).Select(x => x.Id).FirstOrDefault(),
-                        TableQuestionId = x.TableQuestionId,
-                        TrialId = x.TrialId,
-                        VisitTaskId = visitTaskId,
-                    }).ToList();
+                        List<QuestionMark?> notNeedCopyMarks = new List<QuestionMark?>()
+                        {
+
+                        };
+                     
+                        var tableAnswers = recistTableAnswers.Select(x => new ReadingTableQuestionAnswer
+                        {
+                            Id = NewId.NextGuid(),
+                            Answer = notNeedCopyMarks.Contains(x.QuestionMark) ? string.Empty : x.Answer,
+                            QuestionId = x.QuestionId,
+                            RowIndex = x.RowIndex,
+                            RowId = tableRowAnswers.Where(y => y.OriginalId == x.RowId).Select(x => x.Id).FirstOrDefault(),
+                            TableQuestionId = x.TableQuestionId,
+                            TrialId = x.TrialId,
+                            VisitTaskId = visitTaskId,
+                        }).ToList();
 
                     // 添加 典型肝内病灶 默认值
                     tableRowAnswers.ForEach(x =>