The commonest lesion encountered in the study was fibroadenoma followed by breast carcinoma and breast cyst. The peak incidence of fibroadenoma was seen in 3rd decade. This study was undertaken to evaluate the role of mammography and sonography in characterizing the palpable breast masses. The study includes 100 patients with palpable breast abnormalities. Out of 100 patients, 12 showed no evidence of mass lesion on mammography. The sensitivity & specificity for cancer lesions undergoing biopsy that showed questionable findings on combined mammographic and sonographic evaluation was 98 % & 98.24%. Combined use of mammography and sonography plays an important role in the management of palpable breast lesions. Negative findings on combined mammographic and sonographic imaging have very high specificity and are reassuring to the patient.