Chest CT findings of a 32-year-old male patient: axial CT section through lung bases. A 32-year-old male patient presented with sudden-onset shortness of breath and chest pain after returning from abroad on a long-distance flight. A CT pulmonary angiogram was performed as a pulmonary embolus was suspected. His subsequent RT-PCR result was positive. An axial contrast-enhanced axial chest CT image demonstrated typical consolidative changes associated with COVID-19. The image showed bilateral large rounded consolidations predominantly posteriorly and within the periphery of both lower lobes. The largest lesion lay in the left lower lobe (red box). There was evidence of vascular engorgement (black arrows) and air bronchograms bilaterally (white arrows)COVID-19: coronavirus disease 2019; CT: computed tomography; RT-PCR: reverse transcription-polymerase chain reaction