Coronavirus disease-19 (COVID-19) is a viral pandemic that started in China and has rapidly expanded worldwide. Typical clinical manifestations include fever, cough and dyspnea after an incubation period of 2-14 days. The diagnosis is based on RT-PCR test through a nasopharyngeal swab. Because of the pulmonary tropism of the virus, pneumonia is often encountered in symptomatic patients. Here, we review the pertinent clinical findings and the current published data describing chest CT findings in COVID-19 pneumonia, the diagnostic performance of CT for diagnosis, including differential diagnosis, as well the evolving role of imaging in this disease. 2. Clinical presentation of COVID-19 COVID-19 can affect all ages; however, the reported median age is lower in the largest Chinese series (47y) [6] compared to the largest American series (63y) [7], with less propensity to affect children (2% of patients were below age 19 in the largest series of 44,672 confirmed cases in China [8]). Asymptomatic cases represent approximately 1% of cases, and can contaminate people around them [8]. Men are overrepresented in COVID-19 cohorts, including in severe cases in series from China (58 %-73 % of the cohorts, 58 %-85 % of severe cases) [6,9] and the US (60.3 % of the largest US cohort, 66.5 % of patients admitted in ICU) [7]. Most people who contract COVID-19 experience mild symptoms and recover without specific treatment. The typical incubation period ranges between 2-7 days, but can be as long as two weeks. The most common symptoms include fever (reported between 43.8 %-98 %), cough (67.8 %-76 %), headache, malaise, myalgia, and dyspnea [6,9,10]. Gastrointestinal symptoms such as abdominal pain and diarrhea have been less frequently reported [6,10-13]. Anosmia and ageusia have also been recently described [14,15]. Several biologic findings have been reported: lymphopenia, elevated inflammatory indices such as C-reactive protein (CRP), D-dimer, procalcitonin and ferritin, lactate dehydrogenase (LDH) and interleukin-6 (IL-6); IL-6 in particular may identify cases with poor