Objective: To evaluate the cytomorphological spectrum of HIV-related Lymphadenopathy and to correlate the FNAC findings with CD4+ T cell count. Material and methods: The cross-sectional study was conducted on 69 HIV positive patients presenting with superficial lymphadenopathy and lymph nodes were sampled in each case for fine needle aspiration cytology (FNAC). All the smears were stained with May-GrunwaldGiemsa (MGG) & Papanicolaou (Pap) stain and then evaluated under light microscopy; and a cytological diagnosis was rendered. Ziehl-Neelsen (ZN) staining and Mycobacterial culture was also done in 59 and 42 cases respectively. CD4+ T cell (CD4+) count was also evaluated in 59 cases.