Adolescents rarely present with bloody nipple discharge, associated with benign breast diseases like benign phyllodes tumor and fibroadenoma. Even though they are usually benign, if there is a palpable lesion, a full investigation into the cause and course of treatment is necessary. We hereby report a case of 20-year-oldyoung girl with bloody nipple discharge who had no previous significant medical history. Breast imaging reporting and data system (BI-RADS) classified the solid, oval-shaped, circumscribed mass seen on breast ultrasonography as category III. It was located in the right subareolar region. On FNAC, it was diagnosed as Cellular fibroadenoma and was confirmed on histopathological examination. Even though bloody nipple discharge is uncommon in children, noninvasive diagnostics and image-guided treatment planning can be benefitted from ultrasound evaluation and knowledge of characteristic findings