diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 3bdce95f3..ac89912c7 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -3412,6 +3412,15 @@ namespace IRaCIS.Core.Application.Service
                 throw new BusinessValidationFailedException(_localizer["ReadingImage_IDMust"]);
             }
 
+            if (inDto.SubjectCode.IsNotNullOrEmpty() && inDto.SubjectId != null)
+            {
+                if (! (await _visitTaskRepository.AnyAsync(x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId
+                && x.SubjectId == inDto.SubjectId && (x.BlindSubjectCode == inDto.SubjectCode || x.Subject.Code == inDto.SubjectCode))))
+                {
+                    throw new BusinessValidationFailedException(_localizer["ReadingImage_SubjectCodeError"]);
+                }
+            }
+
 
             #region 跳过阅片
             var clearSkipReadingCache = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.SkipReadingCacheKey(_userInfo.UserRoleId));