Lung cancer is one of the most common cancer worldwide and the leading cause of cancer‑related death. Needle biopsies of lung have been used for diagnosis of lung lesions. They are done CT guided or thoracoscopic guided procedures in our institution. The aim is to study role of needle biopsy in early diagnosis of lung lesions and incidence of lung lesions in needle biopsies in our hospital with respect to age and sex.A retrospective type of study. The histopathological records of our Hospital were reviewed for needle biopsies of lung lesions between January 2019 to December 2019 (One year). 35 cases noted during this period.There were a total of 35 cases during the study period of one year. The specimens received were linear bits and average size was 0.5cm in length. Non-neoplastic lesions were eight (22.85 %) and neoplasms contributed to 15 cases (42.85%) along with inadequate biopsies (20 %) and normal lung biopsies (14.28 %).Maximum number of cases were reported in the age group of 51-70 years (28 cases) with male preponderance. In all age groups, malignant lesions were more common in which, Adenocarcinoma was predominant. To conclude, in our study malignant neoplasms predominated over non neoplastic lesions. The most common histological type encountered in this study was an Adenocarcinoma.