Lung fibrosis in systemic sclerosis - grading by Wells et al.

Wells classification of lung involvement in systemic sclerosis is a quantitative scoring method of disease extent and severity. All lobes are scored independently. Maximum score for each lobe is 5.

Grade Description
1 Ground glass opacity alone
2 Ground glass opacity > reticular pattern extent
3 Ground glass opacity = reticular pattern extent
4 Ground glass opacity < reticular pattern extent
5 Reticular pattern alone

References:

1. Assayag D., Kaduri S., Hudson M., Hirsch A., Barton M. High Resolution Computed Tomography Scoring Systems for Evaluating Interstitial Lung Disease in Systemic Sclerosis Patients. Rheumatology 2012;S1:003.
2. Wells AU, Hansell DM, Corrin B, Harrison NK, Goldstraw P, et al. High
resolution computed tomography as a predictor of lung histology in systemic sclerosis. Thorax 1992;47:738-742.