Over the last decades, due to the widespread availability, low financial cost, non-invasivity and a zero ionizing radiation effect, ultrasound is used as the leading medical imaging modality for the initial diagnostic work-up of various multi-organ medical disorders including lung related pathologies like pleural effusion, lung growths etc. And its basic display mode (which is called the brightness mode) reflects different degrees of echogenicity, depending upon the study organs, areas and their underlying pathologies. It can also be done either as trans-wall or endo-luminal means along with the capability of vascular blood flow study. While low dose computed tomography is used presently as the screening test among the high-risk population groups for lung cancer detection, ultrasonography (as a stand-alone modality or as the part of hybrid imaging technique) can be used as a convenient guide for the collection of small biopsies from which efficient interpretation regarding cytological classification and molecular typing are performed as state of the art technology. This study was conducted at the Institute of Nuclear medicine and Allied Sciences, Rajshahi, Bangladesh during the period between 1st May, 2009 and 31st October, 2010. The patients having positive lung lesions on digital radiography are referred at this Institute by the clinicians for ultrasonography of chest and transthoracic ultrasonography-guided fine-needle aspiration biopsy (FNAB) cytological examination, with the co-operation of pathology department of Rajshahi Medical College, Rajshahi, Bangladesh. Under the basis of convenient sampling technique, 77 patients are included as sample. Their age, gender, sonographic echo-patterns of lung carcinomas and cytological findings are recorded and analyzed with statistical software IBM SPSS v. 16. Among the sample (n=77), 67 (87 %) were male and 10 (13 %) were female. Mean (± SD) age was 56 ± 14 years (range=28 to 85 years). Regarding the cytological findings, 30 (39 %) had squamous cell carcinoma, 18 (23.4 %) had undifferentiated large cell carcinoma and 17 (22.1%) had undifferentiated malignant epithelial tumor. And, in relation to the sonographic echo-pattern underlying a single cytology based lung carcinoma among this study sample (n=77), multiple echo-patterns or heterogeneous patterns are noted. The results of this study will be helpful toward the relevant studies which are related to the management algorithm of lung carcinomas, in addition to the role of hybrid imaging techniques as well as histologic classification, molecular typing, genetic and epigenetic profiling from the resected or imaging technique-guided taken small biopsies and cytology specimens.