diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
index b50077fbc..732be71d9 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
@@ -8,6 +8,7 @@ import cn.iocoder.yudao.module.system.dal.dataobject.org.OrgUnitDO;
 import cn.iocoder.yudao.module.system.dal.dataobject.user.AdminUserDO;
 import cn.iocoder.yudao.module.system.service.org.OrgUnitService;
 import cn.iocoder.yudao.module.system.service.user.AdminUserService;
+import cn.iocoder.yudao.module.tblist.dal.dataobject.withdrawrecord.WithdrawRecordDO;
 import cn.iocoder.yudao.module.tblist.dal.mysql.patientexamlist.PatientexamlistMapper;
 import cn.iocoder.yudao.module.tblist.service.patientexamlist.org.OrgService;
 
@@ -133,6 +134,13 @@ public class PatientexamlistController {
         return success(BeanUtils.toBean(patientexamlist, PatientexamlistRespVO.class));
     }
 
+    @PostMapping("/withdraw")
+    @Operation(summary = "打回PACS检查数据")
+    public CommonResult<Boolean> withdrawPatientExam(@Valid @RequestBody WithdrawRecordDO withdrawRecordDO) {
+        patientexamlistService.withdrawPatientExam(withdrawRecordDO);
+        return success(true);
+    }
+
     @GetMapping("/getplexamiddata")
     @Operation(summary = "根据examid和机构获得PACS检查列表数据")
     public CommonResult<PatientexamlistRespVO> getkeyexamidPatientexamlist(@RequestParam("examid") String examid, @RequestParam("orgSN") String orgSN) {
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/dataobject/withdrawrecord/WithdrawRecordDO.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/dataobject/withdrawrecord/WithdrawRecordDO.java
new file mode 100644
index 000000000..94614d390
--- /dev/null
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/dataobject/withdrawrecord/WithdrawRecordDO.java
@@ -0,0 +1,47 @@
+package cn.iocoder.yudao.module.tblist.dal.dataobject.withdrawrecord;
+
+import lombok.*;
+import java.time.LocalDateTime;
+import com.baomidou.mybatisplus.annotation.*;
+
+/**
+ * 打回记录 DO
+ *
+ * @author ywp
+ */
+@TableName("tb_withdraw_record")
+@KeySequence("tb_withdraw_record_seq") // 用于 Oracle、PostgreSQL、Kingbase、DB2、H2 数据库的主键自增。如果是 MySQL 等数据库，可不写。
+@Data
+@ToString(callSuper = true)
+@Builder
+@NoArgsConstructor
+@AllArgsConstructor
+public class WithdrawRecordDO {
+
+    /**
+     * 主键
+     */
+    @TableId
+    private Integer id;
+    /**
+     * 检查ID：体检编号、住院号、门诊号等
+     */
+    private String examId;
+    /**
+     * 登记单号
+     */
+    private String regId;
+    /**
+     * 操作人员
+     */
+    private String operator;
+    /**
+     * 打回日期
+     */
+    private LocalDateTime withdrawDate;
+    /**
+     * 打回原因
+     */
+    private String withdrawReason;
+
+}
\ No newline at end of file
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/withdrawrecord/WithdrawRecordMapper.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/withdrawrecord/WithdrawRecordMapper.java
new file mode 100644
index 000000000..c5a8f42c1
--- /dev/null
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/withdrawrecord/WithdrawRecordMapper.java
@@ -0,0 +1,19 @@
+package cn.iocoder.yudao.module.tblist.dal.mysql.withdrawrecord;
+
+import cn.iocoder.yudao.framework.mybatis.core.mapper.BaseMapperX;
+import cn.iocoder.yudao.module.tblist.dal.dataobject.withdrawrecord.WithdrawRecordDO;
+import com.baomidou.mybatisplus.annotation.InterceptorIgnore;
+import org.apache.ibatis.annotations.Mapper;
+
+
+/**
+ * 打回记录 Mapper
+ *
+ * @author ywp
+ */
+@Mapper
+@InterceptorIgnore(tenantLine = "true")
+public interface WithdrawRecordMapper extends BaseMapperX<WithdrawRecordDO> {
+
+
+}
\ No newline at end of file
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistService.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistService.java
index 7bb2df7ed..f58a25735 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistService.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistService.java
@@ -5,6 +5,7 @@ import java.util.*;
 import cn.iocoder.yudao.module.tblist.controller.admin.patientexamlist.vo.*;
 import cn.iocoder.yudao.module.tblist.dal.dataobject.patientexamlist.PatientexamlistDO;
 import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.module.tblist.dal.dataobject.withdrawrecord.WithdrawRecordDO;
 import com.alibaba.fastjson.JSONObject;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
 import com.baomidou.mybatisplus.extension.service.IService;
@@ -165,4 +166,10 @@ public interface PatientexamlistService extends IService<PatientexamlistDO> {
      * 生成pdf进行上传(us报告)
      */
     Map<String, Object> generatePdf_us(JSONObject params);
+
+    /**
+     * 打回检查（超声、影像）
+     * @param withdrawRecordDO
+     */
+    void withdrawPatientExam(WithdrawRecordDO withdrawRecordDO);
 }
\ No newline at end of file
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java
index ad338c496..5d12b2308 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/service/patientexamlist/PatientexamlistServiceImpl.java
@@ -1,16 +1,20 @@
 package cn.iocoder.yudao.module.tblist.service.patientexamlist;
 
 import cn.iocoder.yudao.framework.common.exception.ErrorCode;
+import cn.iocoder.yudao.framework.security.core.util.SecurityFrameworkUtils;
 import cn.iocoder.yudao.module.infra.dal.dataobject.config.ConfigDO;
 import cn.iocoder.yudao.module.infra.service.config.ConfigService;
 import cn.iocoder.yudao.module.system.dal.dataobject.dicomworklist.*;
 import cn.iocoder.yudao.module.system.dal.dataobject.user.AdminUserDO;
 import cn.iocoder.yudao.module.system.dal.mysql.dicomworklist.DicomworklistMapper;
 import cn.iocoder.yudao.module.system.service.user.AdminUserService;
+import cn.iocoder.yudao.module.tblist.dal.dataobject.withdrawrecord.WithdrawRecordDO;
 import cn.iocoder.yudao.module.tblist.dal.mysql.ecganalysisparas.EcganalysisparasMapper;
 import cn.iocoder.yudao.module.tblist.dal.mysql.positivestatistics.PositivestatisticsMapper;
+import cn.iocoder.yudao.module.tblist.dal.mysql.withdrawrecord.WithdrawRecordMapper;
 import com.alibaba.fastjson.JSONObject;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
 import com.itextpdf.text.Image;
 import com.itextpdf.text.Rectangle;
@@ -24,6 +28,7 @@ import org.apache.http.ssl.SSLContextBuilder;
 import org.apache.http.util.EntityUtils;
 import org.springframework.stereotype.Service;
 
+import org.springframework.transaction.annotation.Transactional;
 import org.springframework.validation.annotation.Validated;
 
 import java.io.ByteArrayOutputStream;
@@ -75,6 +80,9 @@ public class PatientexamlistServiceImpl extends ServiceImpl<PatientexamlistMappe
     @Resource
     private EcganalysisparasMapper ecganalysisparasMapper;
 
+    @Resource
+    private WithdrawRecordMapper withdrawRecordMapper;
+
     @Resource
     private AdminUserService userService;
 
@@ -644,6 +652,25 @@ public class PatientexamlistServiceImpl extends ServiceImpl<PatientexamlistMappe
         return out;
     }
 
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public void withdrawPatientExam(WithdrawRecordDO withdrawRecordDO) {
+        // 根据检查id更新患者检查表中的三个字段（reportstatus、reviewStatus、pdfurl）
+        LambdaUpdateWrapper updateWrapper = new LambdaUpdateWrapper<PatientexamlistDO>()
+                .eq(PatientexamlistDO::getExamId,withdrawRecordDO.getExamId())
+                .set(PatientexamlistDO::getReportstatus,"已分析")
+                .set(PatientexamlistDO::getReviewStatus,"0")
+                .set(PatientexamlistDO::getPdfurl,"");
+        patientexamlistMapper.update(updateWrapper);
+
+        String nickname = SecurityFrameworkUtils.getLoginUserNickname();
+        withdrawRecordDO.setOperator(nickname).setWithdrawDate(LocalDateTime.now());
+
+        // 插入数据（暂时先不记录打回原因）
+        withdrawRecordMapper.insert(withdrawRecordDO);
+
+    }
+
     public Image getAcroField_Image(String url) {
         Image out = null;
         try {
diff --git a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
index b46ee7866..851bf733e 100644
--- a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
+++ b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
@@ -341,7 +341,7 @@ public class ultrasonicController {
         if (!studyInsta.isEmpty() && !orgID.isEmpty()) {
 
             OrgUnitDO unitDO = Service.getonekey(orgID);
-            if (!unitDO.getDcmprefix().isEmpty()) {
+            if ( unitDO.getDcmprefix() != null && !unitDO.getDcmprefix().isEmpty()) {
                 Dcmprefix = unitDO.getDcmprefix();
             }
 //            先查询基本信息  一个患者基本信息就一条