INTRODUCTION: High resolution ultrasonography due to its cost effectiveness, easy availability, without ionizing radiation and accuracy makes it as supreme imaging modality in the evaluation of abdominal wall pathologies. Abdominal wall lesions mimic intra–abdominal conditions and frequently present as palpable masses. This is more common with patients who have a thick abdominal wall. There are wide range of pathologies affecting the anterior abdominal wall which ranges from simple fluid collections to complex neoplasms. Early detection of these pathology using high resolution USG and other imaging modalities has revolutionized the treatment options.

METHOD: A 100 sample was randomly selected irrespective of age and sex either attending the O.P.D. or admitted in the various wards of tertiary care hospital having abdominal wall lesion and positive ultrasonographic findings.

RESULTS: In our study incisional hernia was the most common anteriorabdominal wall lesion followed byventral hernias.The most common benign neoplasm was lipoma and the malignant tumour was metastatic nodule and abdominal wall sarcoma.Miscellaneous lesions were dermatomyositis and anterior abdominal wall haemangiomas etc.

CONCLUSION:USG is a sensitive diagnostic modality for making the diagnosis of anterior abdominal wall masses and this modality provides valuable guidance for diagnosis and follow–up.