Table 1

Histopathologic scoring system

Diagnosis; scoreSymptoms
Edema
 0Absent
 1Focal expansion of interlobular septa
 2Diffuse expansion of interlobular septa
 3Diffuse expansion of interlobular septa, focal expansion of interacinar septa
 4Diffuse expansion of interlobular septa, diffuse expansion of interacinar septa
 5Diffuse expansion of interlobular septa, diffuse expansion of interacinar septa and increase in the distance between cells
Acinar cell necrosis
 0Absent
 11–4 necrotic cells
 25–10 necrotic cells
 311–16 necrotic cells
 4> 16 necrotic cells
Hemorrhage
 0Absent
 1In 1 area
 2In 2 areas
 3In 3 areas
 4In more than 4 areas
Inflammation and perivascular infiltration
 00–1 interlobular or perivascular leukocyte
 12–5 interlobular or perivascular leukocytes
 26–11 interlobular or perivascular leukocytes
 312–20 interlobular or perivascular leukocytes
 4> 20 leukocytes or widespread microabscesses