Context: Since its outbreak, the COVID-19 pneumonia pandemic is rapidly spreading across India; although computed tomography of chest (CT chest) is not recommended as a screening tool, there is a rapid surge in the CT chest performed in suspected cases We should be aware of the imaging features among the Indian population Aim: To analyze the CT chest features in Indian COVID-19 patients Settings and

Design: Retrospective study Subjects and

Methods: CT chest of 31 polymerase chain reaction (PCR) verified patients of COVID-19 was assessed for ground-glass opacities (GGO), consolidations, bronchiectasis, pleural effusions, vascular enlargement, crazy paving, and reverse halo sign Statistical Analysis Used: The data was analyzed in Microsoft Excel 2019

Results: Only one patient showed a normal scan Multilobar involvements with parenchymal abnormalities were seen in all the patients with bilateral involvement in 74 1% 42 5% of the lung parenchymal abnormalities were pure GGOs, while 41 6% had GGOs mixed with consolidation Peripheral and posterior lung field involvement was seen in 70 5% and 65 5%, respectively; 56 8% had well-defined margins Pure GGOs were seen in all six patients, who underwent CT in the first 2 days of onset of symptoms Seventeen patients scanned between 3 and 6 days of the illness showed GGOs mixed with consolidation and pure consolidations 76% Vascular enlargement, crazy paving, and reverse halo sign were seen in 70% , 53%, and 35% of the patients, respectively Patients scanned after 1 week of symptoms showed traction bronchiectasis along with GGOs and or consolidations

Conclusions: COVID-19 pneumonia showed multifocal predominantly subpleural basal posteriorly located GGOs and/or consolidations which were predominantly well defined``Crazy paving"was prevailing in the intermediate stage while early traction bronchiectasis among the patients presented later in the course of illness © 2021 Wolters Kluwer Medknow Publications All rights reserved