Thyroid lesions are a common encounter in clinical practice. Standardisation in the reporting of these cases in radiology and cytology is a recent advance. TIRADS system is the standard in the reporting of radiology and Bethesda system (TBSRTC) has been used as the benchmark in cytology. We have undertaken this study with the aim of studying the patterns of thyroid lesions in cytology and compare the same with reporting system in radiology (TIRADS). All the cases coming to the Departments of Endocrinology & Surgery were included and we have 47 cases with a female predominance, 43.7 years was was the mean age of presentation with female predominance, only 2 cases were seen in males. Benign lesions (80%) was predominant over the malignant cases (10%). Most of the cases come under category II in the TBSRTC system in cytology which includes nodular colloid goiter, adenomatous goiter & thyroiditis. Taking the TIRADS system into consideration, most of the cases were included under category 3(probably benign) with the malignancy rate as low as 5%.Maximum concordance was seen between TIRADS 3 and TBSRTC IIresults. Thus our results were in par with other similar studies. Fine needle aspiration can thus be performed only in cases which belong to TIRADS IV or V and thus avoid unnecesary aspirations.