he aim of this study was to detect the ultrasonographic features of salivary glands in patients with rheumatoid arthritis and secondary Sjogren Methods: This cross sectional study was carried out in Rheumatology and Rehabilitation department, Faculty of Medicine, Zagazig University Hospitals. All paitents included were evaluated by clinical examination and salivary gland ultrasonography. . Results 68 patients were included in our study ,most of them were female 88.3% .Disease duration was 9.31±2.4 . The median value for disease activity (DAS28) was 2.5, ESR median value was 30 .RF median value was 16. CRP median value was 18, Anti CCP median value was 19.5. Ultrasonographic of salivary glands in the included patients shows hypoechoic areas in (67.6%) of right parotid gland(PG), (47%) of left PG , (48.5%)of right submandibular gland(SMG), (44%) left SMG. (88.2%)of PG showed heterogenic areas, (82.3%)of left PG, (41.1%) of right SMG, (73.5%) of left SMG. Hyperechoic bands were detected in (80.8%)of right PG, (85.2%)of left PG, (42.6%)of right SMG, (48.5%)of left SMG. fatty infiltrations were noticed in (10.2%) of right PG, (11.7%)of left PG (20.5%)of right SMG, (39.7%) of left SMG. calcifications were identified in (4.4%) of right PG, and (8.8%)of left PG, (4.4%) of right SMG, (2.9%) of left SMG. The posterior border was visible in (57.3%)of right PG, and (48.5%)of left PG, (89.7%)of right SMG, (88.2%) of left SMG. There is no significant correlation between disease activity and Ultrasonographic features of salivary glands in patients with rheumatoid arthritis and secondary Sjogren.