The thyroid gland is situated behind the voice box (larynx) just behind the collarbones at the lower front of the neck. There is a lump on the thyroid gland or thyroid gland. The diseases of thyroid form a major share of head and neck surgery. Total 50 cases of nodular thyroid were evaluated from May 2011 to May 2013, with respect to age, sex, duration of symptoms and investigated with routine hemogram, thyroid profile, fine needle aspiration cytology and USG thyroid. Majority of the patients were in the age group of 31-40 years. All the lesions diagnosed malignant on FNAC. The results of FNAC and USG were compared with histology. USG proved to be a more sensitive modality to evaluate the nodularity of the thyroid than clinical evaluation.