AbstractIntroduction: Pulmonary involvement is the one of the most common extraarticular manifestations of rheumatoid arthritis which contributes significantly to morbidity and mortality of patients with rheumatoid arthritis. Therefore a study was conducted to study Pulmonary manifestation in patients with rheumatoid arthritis, irrespective of the presence of respiratory symptoms and to correlate pulmonary manifestations with disease activity. Methods:The study conducted was a cross-sectional descriptive study on fifty patients of Rheumatoid Arthritis, new or follow up, who presented to Medicine OPD or admitted to the wards of ESIC Medical College Hospital,Bangalore. Data was collected with the aid of a proforma, which included patient bio data,relevant history,a routine clinical examination with special attention to joints andres piratory system.Results: Age of the study individuals ranged from 22–64 years. Mean age of the patients in the study was 46.3±9.75.7 years. The female to male ratio was 3.2:1. Mean duration of the disease was 5.18 ±6.52 years (range 1-26 years). Rheumatoid factor was positive in 39 (78 %) patients. In our study, twenty (40%) patients had respiratory symptoms. Conclusion: Pulmonary manifestations were found in more than half of patients with RA. Asymptomatic pulmonary involvement was seen in one third of patients with RA. This highlights the importance of actively looking for asymptomatic pulmonary manifestations in RA patients.