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Breast Ultrasound

Breast ultrasound is a safe, painless and widely used imaging exam for the assessment of breast tissue. It allows detailed visualisation of breast structures, helping to detect and characterise nodules, cysts and other abnormalities. It is often used as a complement to mammography, particularly in women with dense breast tissue.

What is a Breast Ultrasound and what is it for?

Breast ultrasound uses high-frequency sound waves to produce real-time images of the breasts. Unlike imaging exams that use radiation, this method is considered safe and can be repeated whenever necessary.

It is used to:

  • Assess palpable breast lumps or findings detected on other imaging exams;
  • Differentiate solid lesions from fluid-filled cysts;
  • Complement mammography, especially in dense breasts;
  • Guide procedures such as ultrasound-guided breast biopsies;
  • Monitor previously known breast changes.

It is frequently recommended for younger women and pregnant patients, as well as in cases of breast pain, inflammation or nipple discharge.

How much does a Breast Ultrasound cost?

The price of a breast ultrasound is €30 on a private basis. X-Clinic also has agreements with:

  • ADSE (the patient only pays a co-payment of €8), ADM GNR, SAD PSP;
  • Insurance companies: Médis, Multicare, Advance Care, Allianz, Saúde Prime, Future HealthCare, SS CGD, SAMS Quadros, SAMS, Montepio, RNA, Generali, Mudum, MGEN, Aegon, Vitória, Una Seguros, among others;
  • Health plans: Medicare, Saúde Prime, Future HealthCare, Continente Wells, ACP, among others.
  • Protocols: X-Clinic has agreements with several clinics and institutions that allow you to have the exam done at very competitive rates. In the case of a breast ultrasound, the protocol price is €24.

The final price may vary depending on the healthcare system or insurance used.

How is it performed?

Breast ultrasound is performed with the patient lying on an examination table, in a dimly lit room to facilitate image interpretation.

The doctor applies a transparent gel to the skin of the breast, which improves sound wave transmission and allows the probe to glide smoothly. The probe is then carefully moved over the breast and, when necessary, over the axillary region to assess the lymph nodes.

Images are obtained and viewed in real time on a monitor and interpreted by an imaging specialist. The exam usually lasts between 15 and 30 minutes, depending on the complexity of the case.

What does it detect?

Breast ultrasound allows the identification of:

  • Simple or complex cysts;
  • Benign or suspicious solid nodules;
  • Inflammatory or infectious changes;
  • Thickening of the breast ducts;
  • Abnormal axillary lymph nodes.

It is an essential exam for characterising breast findings and guiding the need for further investigations.

In which cases is it indicated?

Breast ultrasound is indicated in situations such as:

  • Palpable breast lumps;
  • Persistent breast pain;
  • Changes in breast shape or consistency;
  • Nipple discharge;
  • Complementary assessment to mammography;
  • Follow-up of known breast lesions;
  • Breast assessment in young women, pregnant patients or breastfeeding women.

Preparing for a Breast Ultrasound

This exam does not require any specific preparation.

It is recommended to wear comfortable clothing that is easy to remove on the upper body and to avoid applying creams or lotions to the breast area on the day of the exam, as these may interfere with image quality.

Whenever possible, bring previous exams (ultrasounds, mammograms and medical reports) and the exam referral, if available, to facilitate comparison and clinical interpretation.

Where to have it done?

A breast ultrasound can be performed at X-Clinic (Av. Eng. Duarte Pacheco, nº 26 – mezzanine floor, 1070-110 Lisbon) or at NRD (Avenida Columbano Bordalo Pinheiro, nº 11-B, ground floor, 1070-060 Lisbon – near Praça de Espanha).

Breast Ultrasound

Does breast ultrasound hurt?

No. It is a painless exam, although slight discomfort may occur due to pressure from the probe on the breast.

When will I receive the results?

A preliminary comment may be provided immediately after the exam, but the final written report, prepared by the doctor, will be available within a maximum of 7 days.

Do I need to fast?

No. Breast ultrasound does not require fasting.

How long does the exam take?

A breast ultrasound usually lasts between 15 and 30 minutes, and may take longer if both breasts, the axillary region or a specific finding require more detailed assessment.

Are there any risks associated with this ultrasound?

No. Ultrasound uses sound waves and does not involve radiation, making it a very safe exam.

Can I drink water before a breast ultrasound?

Yes. There are no restrictions on fluid intake.

Is breast ultrasound safe during pregnancy?

Yes. It is considered safe during pregnancy and is frequently used in these situations.

Does this ultrasound replace CT or MRI scans?

Not always. Ultrasound is often the first imaging exam or a complement to mammography, but CT or MRI may be required in specific situations.

Is breast ultrasound the same as mammography?

No. They are different and complementary exams. Mammography uses X-rays and is particularly useful for detecting microcalcifications and very early changes. Breast ultrasound uses sound waves and allows better assessment of breast tissue (especially in dense breasts), helps distinguish cysts (fluid-filled) from solid nodules, and guides biopsies when necessary. The most appropriate exam is determined by the doctor based on age, symptoms and clinical history.

Can breast ultrasound detect breast cancer?

It can help detect and characterise suspicious lesions and is very useful in the evaluation of palpable nodules and as a complement to mammography. However, it does not replace mammography for screening when this is indicated. If suspicious findings are identified, further steps may include complementary mammography, MRI (in selected cases) and/or ultrasound-guided biopsy to confirm the diagnosis.