Edema |
0 | Absent |
1 | Focal expansion of interlobular septa |
2 | Diffuse expansion of interlobular septa |
3 | Diffuse expansion of interlobular septa, focal expansion of interacinar septa |
4 | Diffuse expansion of interlobular septa, diffuse expansion of interacinar septa |
5 | Diffuse expansion of interlobular septa, diffuse expansion of interacinar septa and increase in the distance between cells |
Acinar cell necrosis |
0 | Absent |
1 | 1–4 necrotic cells |
2 | 5–10 necrotic cells |
3 | 11–16 necrotic cells |
4 | > 16 necrotic cells |
Hemorrhage |
0 | Absent |
1 | In 1 area |
2 | In 2 areas |
3 | In 3 areas |
4 | In more than 4 areas |
Inflammation and perivascular infiltration |
0 | 0–1 interlobular or perivascular leukocyte |
1 | 2–5 interlobular or perivascular leukocytes |
2 | 6–11 interlobular or perivascular leukocytes |
3 | 12–20 interlobular or perivascular leukocytes |
4 | > 20 leukocytes or widespread microabscesses |