Thyroid tuberculosis is an uncommon clinicopathological condition. The prevalence varies from 0.1% to 0.6% in histologically diagnosed specimens, including areas with endemic TB.1The diagnosis is often difficult as the clinical presentation has no distinct characteristics. The existence of this condition should be recognized when goiters or thyroid nodules are being treated because of more frequent involvement of extra-pulmonary sites of tuberculosis these days. We present a rare case of thyroid tuberculosis in a middle aged female, mimicking as a recurrent multinodulargoiter.