A radiation-free imaging method that examines the soft-tissue structures of the breast using sound waves. Used to characterize masses and to complement mammography.
Indication
- Evaluation of breast pain or a palpable mass in younger patients (under 40)
- Complementary imaging to mammography in patients with dense breast tissue
- Distinguishing the cystic versus solid character of suspicious lesions seen on mammography
- Evaluation of breast complaints during pregnancy and breastfeeding
- Follow-up of patients with breast implants
- Evaluation of axillary (underarm) lymph nodes
- Planning of ultrasound-guided fine-needle aspiration or biopsy
Preparation
- No special preparation is needed; fasting is not required
- Wear easily removable clothing for the examination area
- Avoid applying deodorant or powder to the underarm and chest area before the procedure
- Bring previous mammogram, ultrasound, or MRI reports if available
How it's performed
- The patient lies supine on the examination table with the arm raised above the head
- Gel is applied to the examination area to transmit sound waves
- The radiologist or technician systematically scans both breasts with the probe (ultrasound transducer)
- Color Doppler is used to assess blood flow in suspicious areas
- The axillary (underarm) lymph nodes are also examined
- The procedure typically lasts 15-25 minutes and is painless
Post-procedure
- You can return to daily activities immediately after the examination; there are no restrictions
- The result report is organized according to the BI-RADS classification and interpreted by your physician
- If suspicious findings are identified, additional imaging (mammography, MRI) or biopsy may be planned
- Follow-up intervals are determined by age, breast density, and risk factors
Risks
- Ultrasound does not involve ionizing radiation and has no known biological risk
- Very rare skin sensitivity to the gel used
- Interpretation may vary depending on operator experience
- Limited sensitivity for microcalcifications compared with mammography
FAQ
Does breast ultrasound replace mammography?
No. It is a complementary method for younger patients and dense breast tissue. For screening over the age of 40, mammography remains the primary examination; both may be used together when needed.
Can a breast ultrasound be performed during pregnancy?
Yes. Because ultrasound does not involve ionizing radiation, it can be safely used during pregnancy and breastfeeding.
Is the procedure painful?
No. Only mild pressure is applied to the skin with the probe; pain or discomfort is uncommon.
When are the results available?
The report is usually completed the same day or within a few hours.
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