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Medical diagnostic image analysis (e.g., CT scan or X-Ray) using machine learning is an efficient and accurate way to detect COVID-19 infections. However, the sharing of diagnostic images across medical institutions is usually prohibited due to patients’ privacy concerns. This causes the issue of insufficient data sets for training the image classification model. Federated learning is an emerging privacy-preserving machine learning paradigm that produces an unbiased global model based on the received local model updates trained by clients without exchanging clients’ local data. Nevertheless, the default setting of federated learning introduces a huge communication cost of transferring model updates and can hardly ensure model performance when severe data heterogeneity of clients exists. To improve communication efficiency and model performance, in this article, we propose a novel dynamic fusion-based …