Hepatic tuberculosis is commonly encountered in patient with widespread milliary disease. Isolated affection of liver is extremely rare (1). Here I am presenting a case of postmenopausal women who presented with postmenopausal bleeding of no obvious cause and during investigation procedure which included radiology, pathology & histopathology with the help of ultrasonography, CT scan, PETCT, FNAC. Which confirmed the diagnosis of granulomatous hepatic tuberculosis is the cause. It is important that tuberculosis is to be kept in mind, especially when we are handling a case in endemic areas even in atypical scenario faced by clinician, radiologist or pathologists. Use of antitubercular drugs in such cases is usually successful & must be instituted early.
