Introduction. COVID-19 is a disease caused by SARS-Cov-2 that has reached the pandemic status and has infected in one
year more than 62 million people. Clinical symptoms range from barely noticeable to very severe. It is crucial to recognize
imaging patterns of COVID-19, allowing for better diagnosis and treatment. Diagnostic imaging is also essential in monitoring
patients in the course of the disease.
Objective. In our pictorial review we describe the most common pulmonary manifestations of COVID-19, and show the
typical and non-typical features of COVID-19 encountered in our hospital in Lublin, Poland. Imaging the disease progression
is also visualized to help realize how pulmonary changes occur over the time.
State of knowledge and Conclusions. COVID-19 involves both lung parenchyma and interstitium and has multiple imaging
features, varying form ground glass opacities (GGO), consolidations, reticular interstitial pattern, honeycombing or crazy-
paving. Mediastinal and hilar lymph node enlargement or pleural effusion may appear, but are rare and atypical. GGO are
located peripherally, bilaterally and predominantly in the lower lobes, and in the early stage are better seen on CT imaging.
Progression of imaging findings take different times, with the peak of of imaging features appearing around 10–14 days
after initial symptoms. While it is harder to discern subtle changes on CXR, progression can be very well monitored by his
method. Final pulmonary consequences of the disease should be assessed with the use of CT.
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