Background: Shoulder pain is third most common presenting complaint due to which a person visits Orthopedic clinic [1] and referred to the radiodiagnosis department for the shoulder USG and MRI. Aims and Objectives: This study aims to assess the accuracy of high resolution ultrasound with MRI ndings as gold standard. Materials and method: 150 patients with shoulder pain referred to Department of Radiology fullling the inclusion criteria were included in the study. USG shoulder and MRI was performed and ndings were recorded.. Results: Amongst 150 patients, 105 were males(70%) and 45 were female(30%).The patient age ranged from 14 years to 80 yr. rotator cuff tears was the far most common pathology detected by USG ,later conrmed by MRI . Conclusion: The presentstudy concludes that USG is as sensitive and specic to MRI in detection of shoulder joint pathology as compare to MRI .