57- year -old female, breast cancer patient had fever, chest pain and cough for 9 days, Axial non-contrast enhanced CT Scan of the chest, lung window showed left segmental consolidation with air bronchograms (Arrow), minimal pleural effusion and minimal consolidation in the right lower lung zone. No peripheral distribution. Categorised as Atypical. Also noted is lytic destruction (metastatic) of the thoracic vertebral body. RT-PCR was positive, but the imaging features are not Typical and could represent pneumonia related to COVID-19 or a secondary infectious process.