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Metastatic breast cancer is the second most common cancer related death amongst women in the United States. The common locations for metastases—lymph nodes, bone, lung, liver, brain – are well reported. Rarely, breast cancer metastasizes to the bladder. We present a case of primary hormone positive, HER2 unamplified breast cancer, thirteen years in remission, with triple negative metastases to the bladder. Urologists should consider breast metastases in patients with even a remote history of breast cancer who present with gross hematuria to avoid delays in treatment.