
Objective: We conducted the study to evaluate the diagnostic accuracy of image guided FNAC of benign and malignant disorders of lung. Materials and Methods: Over a period of one year 71 Sonography and CT-guided cases were collected. Results: Out of 71 cases, 51 cases (72.85%) were male and 20(27.15%) were female. The youngest patient was 25 years old whereas the oldest was 92 years old. Malignancy was the predominant lesion found in this study with 48/71 cases (67%). Among the malignant lesions, adenocarcinoma was the commonest malignancy followed by squamous cell carcinoma. Eight cases (11.3%) were inadequate for interpretation. Conclusion: Image-guided FNAC is safe and rapid procedure to evaluate neoplastic and non-neoplastic lesions of lung. Rapid diagnosis can lead to earlier initiation of therapy.