New coronavirus pneumonia imaging shows early presentation of multiple small patchy shadows and interstitial changes, which are obvious in the outer lung bands. It progresses to multiple ground glass shadows and infiltration shadows in both lungs, and in severe cases, solid lung changes may occur, and pleural effusion is rare. Neocoronavirus pneumonia is caused by novel coronavirus infection, and in the early stage, it usually presents with multiple small patchy shadows in the extrapulmonary bands, which are mostly ground-glass-like; at the same time, there may be interstitial changes, such as a lattice-like shadow on top of ground-glass-like patchy shadows, which is also known as the gravel road sign in medical practice. In patients with neocoronal pneumonia, the above lesions can be gradually absorbed if the immune system is strong or timely treatment is given. However, as the disease progresses, the ground-glass shadow can progress rapidly, with increased exudation, and then solid lung shadows appear, which can lead to respiratory failure and other serious complications. Pleural effusion is less common in patients with new crown pneumonia. However, these imaging findings are not characteristic changes. For example, influenza virus-induced pneumonia may have a similar presentation to C.N.C.P. and may need to be differentiated by nucleic acid testing and other tests. Tip: The terms “new coronavirus pneumonia” and “new coronavirus pneumonia” mentioned in this article were renamed to “new coronavirus infection” on December 26, 2022, as announced by the National Health Commission.