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Advances in the imaging o f breast have paralleled the increased detection o f carcinoma breast. Although mammographyremains the gold standard with a phenomenal backup by ultrasound; the natural architectural variations along withthe discomfort o f compression and intrinsic radiation hazard led to a quest for further avenues. This articlc is acommentary regarding the trend changes in the conventional film-scrccn mammography reporting; its variations withdigital, radio-nuclear, magnetic resonance (MR) and CT laser (CTLM) techniques and the breast ultrasoundcomplemented by Doppler and image guided biopsy systems. Current uses, limitations and potentials are discussed.