Stroke is among the leading causes of disability worldwide and aphasia is one of the common manifestations of stroke. Specic brain areas have been assigned in the literature for various subtypes of aphasia. With the advancement in neuroradiology, it has been observed that lesions at a given cortical or subcortical site may manifest with different aphasia subtypes. Objectives: To assess various aphasia type and probable site of brain lesion by clinical examination and correlating clinical site of lesion with anatomical brain lesion using CT. A prospective cross-sectional study in patients of ≥18 years of age with rst ever acute ischemic (FEIS) stroke andMethod: aphasia were subjected to clinical examination for stroke and aphasia using WAB-Modied and NIHS Score. Statistical analysis was done with χ2 test (p value < 0.05). Out of 68 patients, Global aphasia was the most common aphasia subtype (38.23%) and signicant correlation wasResults: observed in patients with NIHS score ≥15(Severe Stroke) and AQ >15(Severe Aphasia). Global, Wernicke`s, Broca`s, and Anomic aphasics showed signicant correlation between aphasia type and specic lesion on CT scan. A signicant correlation exist between theConclusion: clinical aphasia type and specic brain lesion in CT scan