Table 1.
Score | Vascular features | Extravascular and alveolar involvement | Bronchiole features |
---|---|---|---|
0 | Minimal | Minimal | None |
1 | Blood leaking into interstitium; mild RBC obstruction | Mild inflammatory exudate; areas of patchy oedema with some disordered structure | Mild infiltration of inflammatory cells |
2 | Mild RBC and vascular obstruction; areas of mild and moderate haemorrhage | Moderate inflammatory exudate; areas of moderate alveolar thickening (25–50% visualized lung) | Moderate infiltration of inflammatory cells; detachment of lining in some bronchioles |
3 | Diffuse haemorrhage; moderate RBC and vascular obstruction | Moderate-severe inflammatory exudate; Severe alveolar thickening (> 50% visualized lung); loss of structure with amorphous material | Complete loss of bronchiole structure; detachment of lining; cellular debris and inflammatory cell exudate |
RBC red blood cell