CONCLUSION
Our study provides unique insights into the radiological characteristics of pediatric COVID-19 patients in Colombia. The demographic differences in our population contribute to varying radiological patterns. While alveolar opacities showed the best interobserver concordance, the radiological findings may not significantly predict clinical outcomes, treatment decisions, or disease progression. Therefore, the utility of chest radiography in hospitalized pediatric COVID-19 patients appears limited, emphasizing the need for comprehensive clinical evaluation in managing these cases.