Early diagnosis leads to successful treatment and good prognosis. The objective of all the diagnostic modalities is to make the diagnosis within a short period of time using minimum tests, money and discomfort to the patients. Fine needle aspiration cytology is one such procedure which requires no anaesthesia and is quick and easy to perform. Also, it causes least discomfort to the patients (1). On radiography, inflammatory lesions or diffuse liver lesions mimic mass like lesions, such lesion can be sampled by FNA to rule out neoplasm from the differential diagnosis (2). However, there is poor lesion localization and lower diagnostic accuracy with blind aspiration which has led to the usage of various radiologic guidance procedures. The advent of ultrasonogarphy (US) have enhanced the guidance for FNAC (3)