diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index df2425784..393b0fb00 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -2272,7 +2272,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             var imageQualityEvaluation = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ImageQualityAssessment&&x.Answer.EqEnum(ImageQualityEvaluation.Abnormal)).FirstOrDefault();
             if (imageQualityEvaluation != null)
             {
-                return ImagingOverallAssessment_Lugano.NA.GetEnumInt();
+                return ImagingOverallAssessment_Lugano.NE.GetEnumInt();
             }
 
             // CTandMRI