Breast tuberculosis is a rare form of extra-pulmonary tuberculosis. It accounts for less than 0.1% of breast conditions in developed countries but reaches about 3-4% in developing high TB endemic regions. It usually occurs in multiparous and lactating women. The clinical, radiological and pathological presentation may often mimic breast abscess, idiopathic granulomatous mastitis or carcinoma. The most common presentation is that of a lump. Constitutional symptoms are not usually present. The most common site is the right upper outer quadrant of the breast. It also occurs in association with Immunosuppression disorders such as HIV. Here we present a case of a young, multiparous non- lactating woman with tubercular mastitis, confirmed by FNAC of the mass. The Tuberculin skin test was positive and the patient improved with anti-tubercular treatment.