Background: Testicular trauma and obstructed hernia can be differentiated by taking history from patient. Physical examination adds only a little information. Color Doppler ultrasound (US) is the modality of choice to differentiate testicular torsion from inflammatory conditions and can thus help in avoiding unnecessary surgical explorations. Color Doppler US alone has a limited role in the evaluation of testicular tumours. Grayscaleultrasonography in combination with color Doppler imaging is a well-accepted technique for assessing scrotal lesions andtesticular perfusion. Aims and Objectives: To Evaluate the study of Sonography and Colour Doppler in correlation with its histopathology and pediatric non neoplastic scrotal masses and also to compare non-neoplastic and neoplastic scrotal masses by characterization on B-modescan and Colour Doppler ultrasonography. Material and Methods: The present study was carried out in 100 patients with clinically suggestive scrotal lesions. All cases were subjected to real time sonography examination. Main stress was laid to determine of organ of scrotal lesion to evaluate its nature size and echo texture and to see the results on management of serial Ultrasonography. Results: Of 56 cases of non-inflammatory scrotal swellings, 5 cases wereneoplastic lesions, remaining 51 cases were non-neoplastic swellings. The 5 cases of neoplastic swellings were three cases of testicular neoplasm, two case of spermatic cord neoplasm which was histopathologically confirmed. Conclusion: When color Doppler sonography is supplemented with High frequency gray scale US, the sensitivity of diagnosing acute scrotal pathology will be increased