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A 30-year-old female with the diagnosis of Bipolar Affective Disorder (BPAD) for 15 years, visited surgery outpatient department with the complaints of pain and lump in the right breast in January 2015. She was on risperidone 4 mg, two doses at night for three years. She was on lithium previously for BPAD, but discontinued due to hypothyroidism. Lump in the right breast, was insidious in onset and gradually progressive, to a size of 4x5 cm in one month. Intermittent pricking pain was present, that increased during menstrual cycles. Pain was also present in other breast for about 20 days with no lump. No history of fever, trauma or surgery and any swelling elsewhere in the body was given by the patient.