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. 2013 Mar 15;16(1):70–74. doi: 10.1111/hpb.12074

Table 1.

Pulmonary nodule scoring system

Pulmonary nodule score Lung findings
0 No evidence of malignancy 1 Normal lungs

2 Stable pulmonary nodules for 2 years

3 Homogeneous calcified nodules

4 Opacities not related to malignancy (i.e. atelectasis, congestive heart failure, pulmonary scarring/fibrosis, emphysema)

1 Indeterminate 1 Solitary pulmonary nodules <5 mm

2 Pulmonary nodules <5 mm with short-interval stability (<2 years)

3 Pleural effusion, pleural plaques, and infectious/inflammatory ground glass and tree-in-bud opacities

2 Suspicious 1 Solitary pulmonary nodule of >5 mm

2 Multiple pulmonary nodules

3 Definite metastasis(es) 1 Multiple, bilateral, peripheral, lower lobe pulmonary nodules of varying size (haematogenous spread)

2 Diffuse nodular interstitial thickening (lymphangitic spread)

3 New and/or enlarged pulmonary nodule(s) over time

4 Biopsy-proven metastasis

5 Malignant lymphadenopathy