Introduction: In women, breast lesions are one of the most commonly encountered lesions. Lesions may be benign or malignant, pathological confirmation of the nature of any mass in the breast is needed by all physicians for proper management of lesions. Fine Needle Aspiration Cytology (FNAC) and breast ultrasound is important in the characterization of breast lump to differentiate benign from malignant disease so all palpable breast masses require proper workup, early diagnosis and management. Aim: 1  To correlate and to evaluate the role of cytology and radiology in diagnosing breast lesions. 2. To decrease unnecessary surgery in benign conditions. Materials and methods: 100 patients with breast lumps were examined clinically, evaluated with Radiology and FNAC by using PAP, H&E, and Geimsa stains. Hence, correlation vof Radiologic and cytologic findings is important for diagnosing and management of breast carcinoma and to reduce unnecessary surgery in benign conditions. Result: Total 100 cases were evaluated by FNAC and radiologically, among which 88 cases have same results and among them 50 cases were confirmed histologically. Conclusion: Considering patient’s comfort, lack of requirement of anesthesia, simple to perform, cost effective, rapid analysis and reporting makes FNAC an ideal initial diagnostic modality in breast lumps.

 Keywords: Breast Lesions; FNAC; Radiology.