Background: Fine needle aspiration cytology is a veritable tool for the assessment and diagnosis of superficial lymph node enlargement. The cytologic patterns of lymph node fine needle aspirations (FNAs) exhibit a wide variation in different diseases. Lymphadenopathy is of great clinical significance and the underlying cause may range from a treatable infectious etiology to malignant neoplasms. The aim of the present study is to study and evaluate the patterns of various lymph node lesions on fine needle aspiration cytology Methods: : This retrospective study was conducted on 160 selected patients including all age groups and both sexes with lymphadenopathy who had undergone FNAC. We reviewed all the cases of lymphadenopathies. The cytomorphological features seen in the aspirate were critically analysed and correlated with their aetiology Result: : Out of 160 cases, the most frequent cause of lymphadenopathy was found to be Reactive Lymphadenitis with 89 cases (55.62%). The next frequent diagnosis was Tuberculosis with 38 cases(23.75%) followed by malignant lymphoma in 8 cases (5%) and metastatic lymphadenopathy in 7 cases (4.37%). Conclusion: FNAC is a simple, safe, reliable, and inexpensive method in early detection of lymph node lesions, which has been proven in this study again. DOI: 10.21276/APALM.1355