Full lung MESA CT scans were acquired in years 2010-12 at suspended full inspiration on 64-slice scanners (GE and Siemens) using the MESA Lung/SPIROMICS protocol (See supplementary appendix) [28 ]. Images were reconstructed using 0.625 mm slice thickness, as previously described [29 (link)]. ILA was defined as the presence of ground-glass, reticular abnormality, diffuse centrilobular nodularity, honeycombing, traction bronchiectasis, non-emphysematous cysts or architectural distortion in at least 5% of nondependent portions of the lung, using methodology previously described [6 (link), 8 (link), 30 (link)].