Thyroid lesions are commonly seen in day to day clinical practice with an annual incidence rate of 4–7%. A preliminary and effective diagnostic tool is required to provide early diagnosis.This was a retrospective study of 98 fine needle aspirations (FNA) of thyroid swellings over a period of two years. The results were categorized according to the recent Bethesda classification (2017). Histopathological correlation was done, when surgical specimen was available. The statistical analysis was done. FNAC was performed in 98 patients with thyroid swelling. Out of 98 cases, histopathological investigation could be made in 45 cases.Present study highlights the role of fine needle aspiration cytology as a first–line investigation in cases of thyroid swellings and to correlate the cytology findings with histopathological findings wherever possible.