Assessment of lymphnode status in carcinoma breast is an important factor in staging. Lymphnode status can be evaluated by different methods such as physical examination and sentinel node biopsy. Ultra sonography features such as round, hypo echoic, with loss of central hilum, eccentric cortical hypertrophy of lymphnode indicate the malignant involvement of lymph nodes. This study was conducted to evaluate the ultra sonography features of metastatically involved axillary lymphnodes. Ultrasound guided fine needle aspiration of involved axillary lymph nodes was done to confirm the findings. Ultrasonography of axillary lymphnodes will detect the small lymphnodes which can be missed on physical examination. Ultrasound guided fine needle aspiration will help in removal of metastatically involved lymphnodes in axillary clearance in a single surgery.