Breast Ultrasound

A breast ultrasound uses sound waves to make a picture of the tissues inside the breast. A breast ultrasound can show all areas of the breast, including the area closest to the chest wall, which is hard to study with a mammogram. Breast ultrasound does not use X-rays or other types of radiation.

A breast ultrasound is used to see whether a breast lump is filled with fluid (a cyst) or if it is a solid lump. An ultrasound does not replace the need for a mammogram; however, it is often used to check a problem seen on a mammogram.

For a breast ultrasound, a small handheld unit called a transducer is gently passed back and forth over the breast. The sound waves are made into a picture that shows on a TV screen. The picture is called a sonogram, echogram, or ultrasound scan.

Breast ultrasound is done to:

• Check a breast lump found on breast self-examination, physical examination, or mammogram. It is used to see whether a breast lump is fluid-filled (a cyst) or if it is a solid lump. A lump that has no fluid or that has fluid with floating particles may need more tests.
• Look at the breasts in younger women because their breast tissue is often more dense, and a mammogram may not show as much detail.
• Guide the placement of a needle or other tube to drain a collection of pus (abscess), take a sample of breast tissue (biopsy), or guide breast surgery.
• Watch the growth of a cyst or guide the placement of a needle to drain the cyst.
• Check your breasts if you have silicone breast implants or dense breasts. In these situations, a mammogram may not be able to see breast lumps.
• Find the cause of breast symptoms, such as pain, swelling, and redness.

Wear a two-piece outfit so that it is easy to undress above the waist.

Talk to your health professional about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will mean. To help you understand the importance of this test, fill out the medical test information form(What is a PDF document?).

A breast ultrasound is usually done by a specially trained technologist.

You will be asked to undress above the waist. You will be given a gown to drape around your shoulders. Remove all jewelry from around your neck.

Gel will be put on your breast so the transducer can pick up the sound waves as it is moved back and forth over the breast. A picture of the breast tissue can be seen on a TV screen.

A breast ultrasound test usually takes between 15 and 30 minutes. More time may be needed if a breast exam will be done or if a biopsy is also planned. You may be asked to wait until a radiologist has reviewed the pictures. The radiologist may want to do more ultrasound views of some areas of your breast.

The gel may feel cold when it is put on your breast. You will feel light pressure from the transducer as it passes over your breast, but you should feel no discomfort unless your breast is tender because of fibrocystic breast changes, an abscess, or another infection. You will not hear the sound waves. A special Doppler ultrasound may be used to check the blood flow to the breast; you can hear the sound waves from this type of ultrasound.

There are no known risks in having a breast ultrasound test.

A breast ultrasound uses sound waves to make of picture of the tissues inside of the breast.

The radiologist may discuss the results of the ultrasound with you right after the test. Complete results are usually available to your doctor in 1 to 2 days.

You may not be able to have the test or the results may not be helpful if you have an open wound in the breast area.

• An ultrasound-guided breast biopsy may allow your doctor to check a suspicious lump without more surgery.
• A breast ultrasound may occasionally be used instead of a mammogram if you are younger than 25 and have concerns about X-rays or should not be exposed to any radiation because you are pregnant. For more information, see the medical test Mammogram.
• A breast ultrasound may be useful for screening young women with a family history of breast cancer. More study is needed to see if ultrasound is good for this purpose.
• An ultrasound does not replace a mammogram. An ultrasound can be used to check a problem seen on a mammogram. It can also be used to show more detail in women who have dense breasts. For more information, see the medical test Mammogram.
• A breast MRI is another type of test that may be used for breast exams after surgery or to check dense breast tissue.

Other Works Consulted

• Pagana KD, Pagana TJ (2002). Mosby’s Manual of Diagnostic and Laboratory Tests, 2nd ed. St. Louis: Mosby.