diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 090f3451c..243c56325 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -1083,6 +1083,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 return string.Empty;
             }
+            if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ImageQualityAssessment && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt()))
+            {
+                //影像质量不正常 
+                return VisitTumorEvaluation.NE.GetEnumInt();
+            }
             var isPD = await ChangeLastTaskSiteVisitForTumorEvaluation(inDto);
             var newLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             var baseLineLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.BaseLineLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();