Background:In developing countries where MRI is still unaffordable and not readily available, ultrasound may serve as an efficient substitute in trained hands. Sonography is vastly underutilized and with additional advances in technology and scanning techniques, we expect further expansion of its role in the evaluation of knee joint. Thus, ultrasound can be used as an initial modality for painful knee joint and may be helpful in making decisions to perform more costly MR imaging or invasive arthroscopy. Materials and Methods: A descriptive observational study was conducted amongst 33 patients who underwent ultrasound imaging of the knee when they presented with knee pain at a tertiary care hospital in Delhi, NCR from July 2017 to March 2020. Ultrasound was performed using the technique described by Von Holsbeeck. Bilateral scans were taken for each patient for comparison. Examination was done with the patient supine, left and right lateral and prone positions.