Objective: To assess the Sonographic Correlation of polycystic ovaries (PCO) for the fatty liver. Method: This is a study carried out at the Dhaka National Medical Institute Hospital, Johnson Road, Dhaka from June 2022 to November 2022 for a period of 6 months. A total number of 60 female patients with an age range of 18 years to 45 years, who had Sonographic features of polycystic ovaries, were included. Postmenopausal women and patients with a history of HbsAg+ were excluded from this study. Proper history was taken from all patients. Then every patient underwent USG of the Radiology & Imaging department of DNMC. Curvilinear probe 3-5 MHz Samsung HS40 machine was utilized patients with polycystic ovaries and NAFLD (Non-Alcoholic Fatty Livers Disease) are remembered for this examination and patients with some other pelvic pathology are avoided in this investigation. Results: During the study, 40% belonged to 27-35years age group and all patients had bilateral PCOS. Plus, 83.33% had fatty liver. 40% had grade-II fatty liver. Followed by 32% had grade-III fatty liver and only 28% had grade-I fatty liver. Among the 18-26 years group grade-I fatty liver was higher, 70% followed by in 27-35 years group grade-II fatty liver was higher, 52.38%, and the 36-45years years group grade-III fatty liver was higher, 42.85%. Prevalence of Hepatomegaly is typically seen higher in the 36-45years age group, 25%. Conclusion: Based on our study we can conclude that there was a significant correlation between fatty liver and PCOS.