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Although most cases of swine-origin influenza A (H1N1) virus have been self-limited, a question arises about the chest X-ray findings and clinical symptoms in swine flu and about the most important clinical finding when correlated with the chest radiograph. Should physicians order a chest X- ray in each patient suspected of having swine flu? We described radiographic findings associated and correlated with the symptoms of swine-origin influenza A (H1N1) infection. The study was approved by hospital ethics committee. As the study was retrospective, an informed consent was waived. we retrospectively reviewed the electronic archive of the infection control department for cases of positive real-time Polymerase chain reaction (PCR) results of nasal swabs or aspirates and positive or negative results of Quick’s test. Afterwards, the results were correlated with the chest radiograph performed on the day of admission. To predict the condition of patients by correlating the major symptoms and clinical outcome of the H1N1 patients. Early cases of prediction leads to minimal the severity risks and helps to get rid of the death risks. If the virus is predicted early then the suspects can be diagnosed early and can be recovered early.