Introduction rnrn rnrnHead and neck cancer is the commonest cancer among male patients & third commonest cancerrnin females in a study done at Tikur Anbessa specialized hospital but there is no research done tornassess imaging patterns of laryngeal cancer and this is the first study done at Tikur Anbessarnspecialized hospital as well as in Ethiopia to assess imaging patterns of laryngeal cancer. rnMethods rnHospital based descriptive cross-sectional study was used at Tikur Anbessa specialized hospitalrnfrom 2016-2019. The study participants were all patients with laryngeal mass who came tornoncology department & radiology department at TASH. Data was collected from cancer registryrnin the oncology department as well as by reviewing imaging reports of patients with laryngealrnmass who came to radiology and oncology department using structured questionnaire. The datarnwas analyzed using SPSS software version 24.4 and results presented using text, tables andrngraphs. rnResult rnThe study showed that of the 90 patients who were included in the study had age range from 24rnyrs. to a maximum of 85 yrs. with a mean age of 51.5 years with (Â±14 SD).rn77 (85.6% presented with hoarseness of voice and Among those 34 cases for which risk factorsrnwere specified 23 (67.6%) had cigarette smoking as risk factor while 12 (35.3%) had alcohol as rnrisk factor.rnOut of the 79 cases with laryngeal sub sites described, 38 (48.1%) were transglottic, 27 (34.2%)rnglottic and 12 (15.2%) were supraglottic.rn46 (51.1%) patients had extra laryngeal spread, 18 (20%) had no extra laryngeal spread, and forrn26 (28.9%) cases it was not specified.rnLaryngoscopic cases of glottic location correlates with 46.2% of imaging cases of glottisrncancer with the rest 46.2% being transglottic and 7.7% being supraglotic on imaging.