A 4-day-old female neonate with raised cord blood thyroid-stimulating hormone (127μIU/mL) underwent ^99mTc thyroid scan to rule out thyroid dysgenesis. The images revealed midline focus of lingual thyroid as the only functioning thyroid tissue. In addition, bilateral focal and sym-metrical breast uptake was seen without clinically palpable breast nodule on either side. Transplacental transfer of maternal hormones leading to stimulation of neonatal breasts explains this unusual scan finding. One should be aware of this rare pattern of focal breast uptake in ^99mTc-pertechnetate scan in neonates with congenital hypothyroidism to avoid scan misinterpretation.