BACKGROUND FNAC provides an alternative to excision biopsy for lymph nodes and is an easy procedure for collection of material for cytomorphological and bacteriological examination. Aims and Objectives-To analyse the utility and diagnostic importance of FNAC in lymph node disease. To assess the cytomorphological features and incidence of various lymph nodes diseases on FNAC. To study the cytomorphological pattern of tuberculous lymphadenitis in the population in and around SIMS. To correlate the acid fast bacilli [AFB] positivity with cytomorphological patterns.