diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 185fd525a..bd8e53509 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -1295,8 +1295,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     // 之前不存在pd 又分为两种情况 在访视2 和 访视2以后
                     if (inDto.VisitTaskNum == 2)
                     {
-                        // V1：新病灶计数>=2; V2：新病灶计数 >= 2; V2与V1的间隔 >= 6周
-                        if (lastNewLesionsCount >= 2 && thisNewLesionsCount >= 2 && daysBetween >= 42)
+                        var alwaysNewLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.AlwaysNewLesionsCount).Select(x => x.Answer).FirstIsNullReturnEmpty().IsNullOrEmptyReturn0();
+
+                        // V1：新病灶计数>=2; V2：新病灶计数>=2且既往新病灶计数>=2;; V2与V1的间隔 >= 6周
+                        if (lastNewLesionsCount >= 2 && thisNewLesionsCount >= 2&& alwaysNewLesionsCount>=2 && daysBetween >= 42)
                         {
 
                             result.IsPD = true;