Coronavirus related respiratory illness usually manifests clinically as pneumonia with predominant imaging findings of an atypical or organizing pneumonia. Plain radiography is very helpful for the assessment and follow-up of COVID-19 disease. It provides an accurate insight into the disease course. We aimed at determining the course of COVID-19 disease and it's severity by using chest X-ray (CXR) scoring system and correlate these with age, sex, and outcome of the patients. Results: In our study, 98 patients with COVID-19 diseasewere enrolled; out of that 70 patients (71.4%) had abnormal chest x-ray and 28 patients (28.57%) had normal chest xray. In the course of follow-up, 55 patients (56.12%) of the normal baseline CXR showed CXR abnormalities. Among the abnormal chest X-ray, ill defined opacity with an air bronchogram features suggestive of consolidation were the most common finding seen in 45 patients (45.91%), followed by ground glass opacity(GGO) seen in 37 patients (37.75%) & reticular interstitial thickening seen in 30 patients (30.61%). Out of 98 patients, Pleural effusion were seen in 19 patients (19.38%). Bilateral lung was involved around (48 patients, 48.97%) with peripheral distribution (33 patients, 33.67%) and lower zone affection (28 patients, 28.57%). The total severity score (TSS) on follow up with CXRranged from 0 to 8. The outcome of COVID-19 disease was significantly related to the age, sex, and TSS of the patients. Male patients older than 40 years especially had higher TSS. They had significantly higher mortality rate than the female patients (P value 0.025). Conclusion: Radiographic findings are very good predictors forthe assessment of the course of COVID-19 disease and it could be used to monitor long-term consequences. Our study showed a positive correlation between the patients age and total severity score to the final disease outcome

Keywords : Covid pneumonia, consolidation, ground glass opacity, central and peripheral.