Tuberculosis (TB) of the breast remains a diagnostic dilemma. Its initial presentation mimics various mammary pathologies, including malignancy, mycotic abscesses and granulomatous mastitis and is therefore easily mis-diagnosed.We present a case of young female 22 years old with complaints of productive cough since 1 month, local examination of breast revealed a palpable mass in right breast in upper outer quadrant which after investigation was diagnosed with MDR-TB (Monoresistant) of cold abscess of Breast. Thorough diagnostic workup included clinical suspicion, radiological and microbiological investigation. Patient was started on Antitubercular drugs as per National TB Elimination Program guidelines. On follow up after 4 weeks, patient reported a significant resolution of symptoms.