Introduction: The pandemic disease COVID-19 has varied presentations clinically and even radiologically. Early diagnosis and treatment help in containment of the disease. Therefore, assessing the radiological patterns in order to contribute to the diagnosis COVID-19 is the aim of this study. Materials and method: A cross-sectional descriptive study from January 2021 to June 2021 was carried out on 165 patients suspected of COVID-19 with delayed RT-PCR report or in cases with initial RT-PCR negative, but having high clinical of suspicion of COVID-19. HRCT pattern in such cases were documented and correlated with the repeat RTPCR and other laboratory parameters such as Interleukin IL-6, serum ferritin, C-reactive protein, Lactate Dehydrogenase. Results: Most common HRCT pattern was bilateral multifocal peripheral ground glass opacities predominantly involving posterior segments. Other common patterns were crazy paving and consolidation