A diagnostic mammogram is performed on women who have a breast problem or symptom, such as a lump, nipple discharge or breast pain or as a follow up to an abnormal screening mammogram. What to Expect: The radiographs taken vary and are dedicated to the particular finding or problem. The mammogram is performed on a dedicated x-ray machine that is designed to provide the best possible pictures with the least amount of radiation. To achieve this, the breast(s) is/are compressed briefly during the exam. The length of the exam varies. Depending on the findings of the diagnostic mammogram, a breast ultrasound may follow. The diagnostic mammogram is performed by a technologist who has advanced training and certification in breast imaging. After the x-rays are obtained, they are reviewed and interpreted by a board certified radiologist, who specializes in breast imaging. All facilities are accredited in mammography by The American College of Radiology and are inspected yearly by the FDA. All diagnostic mammograms are performed with a radiologist who specializes in breast imaging on the premises. The radiologist will be available to answer any questions you may have. It is important for the radiologist to compare your current films with any prior films you may have had. If your previous mammogram was not performed at the facility where you have your exam, please bring the films with you to your appointment or tell the scheduler where they were taken, so that we can obtain them in time for your appointment. Bon Secours has been the local leader in incorporating technological advances of quality and comfort into our service. We were the first in the area to offer digital mammography, computer-aided detection, and Mammopads. Digital mammography, also called full-field digital mammography (FFDM), is a mammography system in which the x-ray film is replaced by solid-state detectors that convert x-rays into electrical signals. These detectors are similar to those found in digital cameras. The electrical signals are used to produce images of the breast that can be seen on a computer screen or printed on special film similar to conventional mammograms. From the patient's point of view, digital mammography is essentially the same as the screen-film system. Computer-aided detection (CAD) systems are used, when possible, as essentially a "second read" of our digitally acquired mammogram. The computer software then searches for abnormal areas of density, mass, or calcification that may indicate the presence of cancer. The CAD system highlights these areas on the images, alerting the radiologist to the need for further analysis. Mammopad is a disposable cushion used at all of our facilities that allows patients to tolerate compression better. If you commonly experience breast tenderness, you might also consider scheduling your appointment about 7 to 10 days after the first day of your last period, at a time when the breasts are least hormonally sensitive. Breast ultrasound is performed to evaluate a palpable lump or an abnormality visualized on a mammogram. The distinction can be made between cystic (fluid-filled) and solid abnormalities. This information aides the radiologist and the patient’s clinician in determining the appropriate course of treatment for the patient. The exam is performed by a registered sonographer and interpreted by a Board Certified radiologist that both specialize in breast imaging. Ultrasound uses high frequency sound waves instead of radiation to image the breast tissue. The exam is performed by placing a small amount of warm gel on the breast, then scanning the area of concern with an ultrasound transducer. Preparation: Do not wear any powder or deodorant under the arms or around the breast area. Information: Radiology Information Resource for Patients Mammography Locations for Diagnostic Mammography: • Memorial Regional Medical Center • Richmond Community Hospital • St. Francis Medical Center • St. Mary's Hospital • Laburnum Diagnostic Imaging Center • Reynolds Crossing Imaging Center • St. Francis Imaging Center, Midlothian Commonwealth Radiology, P.C. 1508 Willow Lawn Dr. Ste. 117 Richmond, Virginia 23230 804-288-8327 www.commonwealthradiology.com