Nonenhanced high-resolution chest CT of a 79-year-old man presented with 7-day history of dyspnea, adynamia and COVID-19 exposure (wife and job colleague diagnosed with SARS-CoV-2 pneumonia). A and B, axial, C, sagittal chest CT shows a typical appearance, with bilateral and rounded ground-glass opacities with predominant peripheral distribution. The diagnosis of COVID-19 pneumonia couldn't be ruled out, even though with two negative RT-PCR. The patient had no alternative diagnosis during hospitalization and he obtained complete resolution mptoms and CT findings in a 6-month follow-up visit.