Background -Thyroid diseases are common in the Himalayan belt, especially in females. Objective -To classify thyroid lesions on cytology and study the association between a solitary thyroid nodule and radionuclide scintigraphy. Methods-This was cross-sectionalal and descriptive stu undertakenen in the Department of pathology and nuclear medicine.A total of 249 cases were studied between 2012-2013.All the thyroid lesions were catogorised on cytology.Radionuclide scintigraphy was done on 50 cases including solitary thyroid nodule