Ultrasound has taken a leading role in the management of breast disease. The main reasons are its ability to distinguish between cystic and solid lesions, its special advantages in examining the dense breast, and significantly absence of potential radiation hazards. Various benign and malignant features can be easily identified on sonography. It is also very useful in obtaining FNAC/biopsy under USG guidance along with interventional procedures like drainage of breast abscess.In this pictorial essay we are depicting USG findings of various classical  breast pathologies  encountered in our teaching hospital of rural region.