Objectives: The aim of this study was to examine the frequency of radiographic chest imaging and radiographic inflammatory findings on chest radiograph at the Department of Diagnostic and Interventional Radiology, University Hospital Centre Osijek during 2019 and 2020. The incidence of confirmed COVID-19 infection in patients with radiographic inflammatory findings of the lungs was examined, as well as whether there has been an increase in the incidence of radiographic chest imaging during the COVID-19 pandemic. Study Design: The study was a cross-sectional study with historical data. Participants and methods: The study included patients referred for radiographic chest imaging at the Department of Diagnostic and Interventional Radiology, at the University Hospital Centre Osijek, within the period from 1 January 2019 to 31 December 2020. Data were collected using the Radiological Information System. Variables for analysis included data on age, sex, date of lung imaging, radiographic evidence of pneumonia, existence of COVID-19 infection confirmed by RT-PCR, and whether it was an initial or control chest radiograph. Results: The study was conducted on 47244 patients. There were significantly more radiographs taken from January to October 2019 compared to 2020, as well as in November and December 2020 compared to 2019. A significantly larger number of inflammations was recorded in June 2019 and in October, November, and December 2020. From October to December 2020, the proportion of COVID-19 positive patients with pneumonia was much higher, ranging from 71.3 % to 94.1 % of the total number of pneumonias in those months. Conclusion: During the COVID-19 pandemic, there was a decrease in the total number of chest radiographs, but also a significantly higher number of radiographically detected pneumonias, which were the consequence of COVID-19 infection in a significant proportion.