Background: Chronic Kidney Disease (CKD) is the 12th most common cause of mortality and the 17thmost frequent cause of disability across the globe. It has a remarkable effect on the quality of life. But, the burden of CKD continues to be an underestimation as the mortality in CKD patients is more probably due to cardiac complications caused due to reduced renal function before they reach to End Stage Renal Disease (ESRD ).1 Areas of main pathologies in native kidneys of patients who undergo dialysis, includes acquired renal cystic disease with recurrent malignant change. Aim and objectives: To study the Ultrasonographic findings of patients undergoing hemodialysis. Methods: This research was conducted out in the Department of Medicine of Maharishi Markandeshwar College and Hospital, Solan. A total of 50 patients undergoing hemodialysiswere enrolled to study the Ultrasonographic findings. Results: USG findings suggested raised cortical echogenicity of left kidney in 24 (48%) patients and 31 (62 %) had raised cortical echogenicity of right kidney .Atleast one kidney was involved in 42(84%) patients while 13 (26 %) patients had bilateral raised cortical echogenicity.Polycystic Kidney Disease was present in 2 (4 %) patients,small sized kidney was present in 26 (52 %) patients among which 14 were females and 12 were males.Cholecystitis was a rare presentation in 1 (2%) patient. Conclusion: Ultrasound findings revealed raised cortical echogenicity of either left or right kidney (84 % patients ) and small size of either kidneys (52 % patients) to be the most common findings in patients who underwent hemodialysis at Maharishi Markandeshwar Medical College and Hospital, Solan.