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Introduction A renal cyst is a fluid-filled sac that develops in the kidneys. It is a common condition and is usually non-cancerous (benign). Renal cysts can vary in size and can occur in one or both kidneys. They can be simple or complex, with simple cysts being more common and typically not causing any symptoms or complications. While renal cysts are generally harmless, in some cases they can be associated with certain medical conditions, including hypertension (high blood pressure). Most renal cysts are benign and do not pose a significant health risk. They are typically discovered incidentally during imaging tests, such as ultrasounds or CT scans, performed for other reasons. However, in some cases, renal cysts can cause symptoms or lead to complications, particularly if they become large or if there are multiple cysts present. NEED OF THE STUDY  The purpose of this study is to assess the prevalence of hypertension among individuals with renal cysts within the general population of India.  Since there has been limited research on this topic, this study aims to enhance our understanding of the likelihood of hypertension in individuals with renal cysts. AIM  “To Analyze the probability of hypertension in patients with Renal Cyst by using MDCT”. OBJECTIVES  To see the hypertension in renal cyst patient based on bosniak classification.  To see the frequency of renal cyst based on bosniak classification. Method The study is based on observational cross-sectional method to understand the probability of hypertension in patients with renal cyst by using Somatom emotion 16 slice Computed tomography. Analysis was conducted in 70 patients at HAHC, HIMSR Radiology Department, Hamdard Nagar New Delhi The gathered data were summarized using descriptive statistics, including frequency, percentage, mean, and standard deviation. To assess the relationship between variables, the likelihood ratio or Chi-square test was employed, with a p-value of < 0.05 considered significant. Data analysis was conducted using SPSS software (SPSS Inc; Chicago, IL), Version 26.0. Result Based on data that was collected from the HAHC, HIMSR, Radiology Department by using descriptive statistics. It was observed that renal cysts are more commonly found in males than in females. Renal cyst based on Bosniak classification divided into 5 categories in which type-1 is more common and type three and four was not found. Hypertension probability found in diagnosis patients with the renal cyst was 32.9% (23). There was an association between unilateral, bilateral and multiple distribution of cyst and Bosniak classification also with age and size of the cyst. Conclusion The study concluded that the cause of renal cysts remains unidentified. However, it found a significant positive association between the presence of renal cysts, as classified by the Bosniak classification, and the incidence of hypertension. Characteristics such as unilateral or bilateral presence, multiple cysts, numbers of one, two, or more, sizes larger than 1 cm, and age groups were linked to hypertension according to the Bosniak classification.