Abnormality

Grading per abnormality

Anatomical regions scored

Percentage disease extent

Score

Pure ground-glass opacity
Fibrosis (including thickened reticular markings, bronchiectasis and bronchiolectasis)
Honeycombing

0
1-25%
26-50%
51-75%
>75%

0
1
2
3
4

Zone 1: Apex to aortic arch
Zone 2: Aortic arch to inferior pulmonary veins
Zone 3:Inferior pulmonary veins to diaphragms
Right and left lung scored separately

Table 4: Semi-quantitative scoring; Scleroderma Lung Study [27].