AIM: To assess the role of High Resolution Computer Tomography as the prime modality in the diagnosis and characterization of lesions of the temporal bone. METHODOLOGY: Patients presenting with symptoms and clinical features suggestive of lesion involving temporal bone were included in the study. RESULTS: High Resolution Computed Tomography was highly sensitive and specific in evaluating lesions like mastoiditis, cholesteatoma, paragangliomas, cerebello pontine tumours. CONCLUSION: High Resolution Computed Tomography is the imaging modality of choice in evaluation of the temporal bone which is a relatively inaccessible area of the human anatomy. It also dictates proper and adequate medical treatment or timely surgery that can prevent further serious complications.