From axilla to groin, accessory breast tissue can present anywhere along the milk line. It can harbour all the pathological conditions as that of the normal breast though incidence is very low. Though the accessory breast and duct ectasia are very common entities presenting separately, coexistence is a rarity. In this case report, a 35 year old female presented with a bilateral painless axillary mass. Ultrasonography and FNAC were reported as lipoma. However, the excision biopsy of the same showed duct ectasia in the right axillary swelling. This case report here shows us the possibility of simultaneous coexistence of accessory breast with duct ectasia with a normal breast finding, however rare it might be.

Keywords: Accessory Breast; Axilla; Duct Ectasia.