Introduction: Initial chest CT scan, as a practical and accessible tool, is one of the best diagnosing tools due to easy to perform and it will be able to make fast diagnosis for patients this study aimed to investigate if the initial chest CT finding of Covid -19 patients is a risk factor of their death?Method & Material: This descriptive cross-sectional study performed on 589 patients referred to Imam Hossein hospital (Tehran, Iran). Inclusions criteria were conformed diagnose of SARS CoV- 2 and exclusion criteria were death of the patient for any cause other than SARS CoV- 2. Data were extracted from electronic information hospital system. Sampling was done by easy and accessible method. Data were analyzed by SPSS 26 and statistical methods such as Chi-square, independent t-test, Fisher's exact test and Logistic regression. Result: out of 589 patients participating in the study, 128 patients died and 481 patients survived. In survived group 57.9% were man with mean age of 57.19 ± 17.02 years and in death group 62.5% were man with mean age of 71.79 ± 15.45 years. Out of 538 patients who had initial chest CT finding, 127 patients, and out of 51 patients who had not, 1 patient died. Logistic regression showed that initial chest CT finding was associated with death of Covid-19 patients. Conclusion: Initial chest CT finding of Covid -19 patients will be able to predict their mortality and manage their treatment process.