The presented recommendations were developed using own experience of Sechenov University employers (Moscow) and the analysis of international sources related to radiological diagnosis of COVID-19 lung pathology. Since the beginning of the pandemic till June 2020, more than 5,000 patients were hospitalized to Sechenov University Clinics and more than 11,000 examinations were performed. The recommendations propose patients’ stratification, generalize the radiological patterns of lung changes in COVID-19 patients, provide an extended protocol for describing CT and X-ray data as well as an algorithm for radiological examination in this category of patients.