diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
index 3bc943709..1d18eaa1a 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
@@ -25,7 +25,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public decimal LowSod { get; set; }
 
         /// <summary>
-        /// 是否存在靶病灶
+        /// 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在)
         /// </summary>
         public bool ExistsTargetLesion { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
index 0cd5bc4c5..9ebeb8293 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
@@ -1438,8 +1438,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
           
             TargetLesionCalculateDto resultData = new TargetLesionCalculateDto()
             {
-                // 是否存在靶病灶
-                ExistsTargetLesion= tableQuestion.Count()>0,
+                // 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在)
+                ExistsTargetLesion=false,
 
                 // 最低SOD
                 LowSod=(await GetLowSODVisit(inDto)).Select(x=>x.SOD).FirstOrDefault(),
@@ -1506,6 +1506,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             foreach (var item in tableQuestion)
             {
+                // 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在)
+                resultData.ExistsTargetLesion = resultData.ExistsTargetLesion || item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.State).Select(x => x.Answer).FirstOrDefault() == NoTargetState.Exist.GetEnumInt();
+
                 if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
                 {
                     // 淋巴结的短径