Aim: To determine if ultrasonography may serve as the primary diagnostic technique for nasal bone fracture, we compared the diagnostic efficacy of ultrasonography and conventional radiography to clinical examination as the gold-standard methodology.Materials &Methods: There was cross-sectional study done in the Radiology Department. 100 people who had a clinical or forensic basis for the investigation of a nasal bone fracture underwent routine Waters and lateral nasal bone view radiography as well as high resolution ultrasonography. The negative likelihood ratio (LR-), positive likelihood ratio (LR+), specificity (Sp), and sensitivity (Se) were used to calculate the diagnostic accuracy. Additionally, the negative predictive value (NPV) and the positive predictive value (PPV) were computed. Results: Physical testing revealed that 81 of the 100 patients had broken nasal bones, while 19 others were found to be OK but were under scrutiny due to legal issues. In this study, 71 of the 91 patients with clinically diagnosed nasal bone fractures had a fracture line visible on conventional radiography. All 100 people were evaluated using ultrasonography. In 77 of the 81 clinically verified fractures of the nasal bone, the fracture line was apparent. Compared to radiography, ultrasound has a lower LR. The LR+ of sonography for the diagnosis of a fractured nasal bone was 65.81 [95% CI: [9.28-390.10], showing a considerable and persuasive increase in the likelihood of fracture in the presence of positive data. In addition, the sonography's LR was 0.21 [95% CI: 0.10-0.21], indicating a considerable to moderate reduction in the risk of fracture in the event of negative results. The LR of x-ray was 0.41 [95% CI: 0.21-0.42], indicating a slight decrease in the likelihood of fracture in negative results, compared to the LR+ of radiography, which was 5.81 [95% CI: 2.87-6.27], indicating a modest rise in the possibility of fracture in positive data. Conclusion: High-resolution ultrasonography may be a useful diagnostic tool for a fractured nasal bone. In many situations, high-resolution ultrasound imaging may be employed instead of conventional radiography.