Tuberculosis of the breast is rare. It occurs in young women. Because the clinical and imaging findings are non specific, the diagnosis of a breast cancer is often suggested. This requires to obtain cytology and/or histology for a definitive diagnosis. On the basis of a case report of tuberculosis of the breast in a 14 years old girl, imaged by ultrasonography and computed tomography, we attempted to demonstrate the contribution of imaging and associated diagnostic pitfalls.