diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 2b7ba3695..2f3f2f329 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -534,7 +534,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                                 }
                                 break;
                             case QuestionType.NewBoneLesionsCount:
+
+
                                 item.Answer = (await calculate.GetIntFun(inDto)).ToString();
+
+                                if (item.Answer=="-1")
+                                {
+                                     item.Answer = nameof(YesOrNoOrNa.NA);
+                                }
                                 break;
                             case QuestionType.DaysBetween:
                                 item.Answer = (await calculate.GetIntFun(inDto)).ToString();
@@ -668,26 +675,31 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         {
 
             var taskList = await GetSiteVisitForTumorList(inDto);
-
+            var result = 0;
             var findindex = taskList.OrderBy(x => x.VisitTaskNum).ToList().FindIndex(x => x.VisitTaskId == inDto.VisitTaskId);
-            var lastCount = 0;
+
+           
             if (findindex < 2)
             {
                 return -1;
             }
-            else if (findindex > 2)
+            else
             {
-                var lastTask = taskList.Where(x => x.VisitTaskNum < inDto.VisitTaskNum && x.VisitTaskId != inDto.VisitTaskId).OrderByDescending(x => x.VisitTaskNum).FirstOrDefault();
-                var cewBoneLesionsCountQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewBoneLesionsCount).Select(x => x.QuestionId).FirstOrDefault();
-                 lastCount =(int) (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastTask.VisitTaskId && x.ReadingQuestionTrialId == cewBoneLesionsCountQuestionId).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
-            }
-           
-             var  result=    inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList)
+                var twoindex = taskList.OrderBy(x => x.VisitTaskNum).ToList()[2];
+
+
+                result = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.AlwaysNewLesions).SelectMany(x => x.TableRowInfoList)
+             .Where(x => x.FristAddTaskNum >= twoindex.VisitTaskNum && x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt())).Count()
+
+             + inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList)
               .Where(x => x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt()))
               .Count();
+            }
+           
+            
 
 
-            return lastCount+ result;
+            return result;
         }
 
         #endregion