diff --git a/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_EN_V1.docx b/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_EN_V1.docx
index 31f5388c9..8852ba1b6 100644
Binary files a/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_EN_V1.docx and b/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_EN_V1.docx differ
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
index 97275b3ef..ce5bd993f 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs
@@ -117,12 +117,20 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 int num = 1;
                 foreach (var item in targetFocus)
                 {
+                    // 以最后一个为准
+                    var typicalIntrahepaticLesions = tableAnswerList.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.ReadingQuestionTrial.LesionType == lesionType && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.TypicalIntrahepaticLesion && x.RowIndex == item.RowIndex).Select(x => x.Answer).FirstIsNullReturnEmpty();
+
+                    var typicalIntrahepaticLesionsText = string.Empty;
+                    if (typicalIntrahepaticLesions == ((int)ReadingYesOrNo.Yes).ToString())
+                    {
+                        typicalIntrahepaticLesionsText = $"\n{_localizer["CriterionCalculateExport_TIL"]}";
+                    }
 
                     VisitLesionInfo target = new VisitLesionInfo
                     {
                         RowMark = rowinfoList.Where(x => x.VisitTaskId == Visittaskid && x.RowIndex == item.RowIndex && x.ReadingQuestionTrial.LesionType == lesionType).Select(x => x.RowMark).FirstIsNullReturnEmpty(),
                         Organ = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, Visittaskid, lesionType, QuestionMark.Organ, item.RowIndex),
-                        Part = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, Visittaskid, lesionType, QuestionMark.Part, item.RowIndex),
+                        Part = _generalCalculateService.GetTaskTableAnswer(tableAnswerList, dictionList, unitDictionary, Visittaskid, lesionType, QuestionMark.Part, item.RowIndex)+ typicalIntrahepaticLesionsText,
                         Number = num,
                         StudyIdStr = instanceList.Where(x => x.Id == item.InstanceId).Select(x => x.DicomSerie.DicomStudy.StudyId).FirstIsNullReturnEmpty(),
                         RowId = item.Id,