 Good morning. I'm Dr. Tejaswini Naulia, junior resident in the department of radio diagnosis, BG medical college and Sasunjandra Hospital Pune and the guidance of my lecturer Dr. Tanaya Kulkarni. I have made this paper on role of combined imaging modalities, sonography and mammography in breast imaging. Breast imaging plays a crucial role in the early detection and diagnosis of breast abnormalities, especially in the context of breast cancer, one of the most prevalent cancers among women worldwide. Early detection has been proven to reduce deaths due to breast cancer. Mammography is a proven tool for detecting breast cancers and reducing breast cancer mortality. These modalities can complement each other, especially when images are correlated to examine an abnormally or suspicious area. With the fast-paced development and sonographic technology over the past few years, its use as supplementary imaging procedure to MAMO has been documented in several studies. This paper aims to go explore the correlation between two widely used imaging modalities in breast agnostics, that is U.S.C. and MAMO. Objectives of the study were to study the development of mammography and ultrasound independently and in correlation in evaluating multiple breast lesions to evaluate the imaging characteristics of breast lesions in MAMO and U.S.C. and differentiate benign and malignant lesions. The study was conducted over the period of May 2023 to November 2023. The research involves a descriptive retrospective analysis of patient data, including 52 patients with papacy-positive, palpable breast lump, who underwent both U.S.C. and MAMO. Emphasis is placed on identifying patterns and anomalies that may be detected more effectively through the combination of these two techniques. MAMO-graphy was performed in a dedicated MAMO unit, a KBP of 24 to 32 KBP is commonly used for breast of average size and density with a focal spot of 0.4 mm with a target and filter of molybdenum. After adequate compression, M.L. and C.C. views were obtained. M.L. and C.C. views were obtained. U.S.C. was performed using a linear transducer with a frequency of 12 MHz using Pellips molybdenia T30G and G.D. Volucine S.A. patients were examined in supine position with their arms raised above, their heads in radial fashion all four quadrants were examined. Final vitals were assessed depending on both MAMO and SONO and results were compared with those of pathology when they were above four. Patients above 30 years of age with 5 Cp1 cases were included in the study. Patients with incomplete or insufficient information on lesion characteristics, participants who have undergone prior breast surgeries below 30 years of age and asymptomatic for screening were excluded. Instituted by American College of Radiology, vitals provides a lexicon of breast-imaging descriptors, a structure for reporting assessment categories and management recommendations, and a framework for that data collecting collection and auditing. We have a MAMO lexicon and a ultrasound lexicon. And we have BIRADS, a classification system that was proposed by ACR, zero new sedational imaging, 1, 2, and 3 are negative benign and for bubbly benign, 4 is divided into 4A4V4C which is suspicious, 5 is helices of malignancy and 6 is 5 Cp1 cases. We have a 52-year-old female who presented with a growing breast lump in her left breast over the past six months. First image we have left breast amyloview on mammography, a high-density lobulated lesion with partly circumscribed and partly obscure margins noted in the upper outer quadrant and axillary tail region visualized only on amyloview, with a focus of course calcification on USJ. This doesn't correspond to a large irregular heterogeneous lexicon in the upper outer quadrant and axillary tail region with non-parallel orientation, micro-lobulated margins, and loss of fat planes with underlying pectoralis major. On combined USJ and MAMO correlation, a final BIRADS of 5 was assigned to this patient. We have another 42-year-old female who presented with a growing lump in her right breast over the past two months. Right breast, amylo and Ccvue showed a type D breast with an oval high-density lesion with partly circumscribed, partly obscure margins noted in the upper outer quadrant. Pine pliomorphic, microcalcification, and regional distribution were also noted. On USJ, the same lesion corresponds to ill fine hypercalculation with micro-lobulated margins extending from 8 to 10 o'clock in right breast with architectural distortion and loss of fat planes with pectoralis muscle with its suspicious involvement and internal vascularity showing venous pectoral. Sub-sendimental satellite lesion was noted. Medial to the above mentioned lesion, multiple rounds lymph nodes were noted in the XLF with some of them showing loss of central fatty high-limb combined MAMO and USJ BIRADS of 5 was assigned to this patient. Multivariate analysis of different barometers on mammography showed majority of patients having a type B breast composition with lesions having indistinct margin, speculated margins, irregular in shape associated with axillary lymphrenopathy associated with skin or nipple retraction and if present microcalcifications. BIRADS mammography was provided and majority of the patients fell under 4B. Multivariate analysis of different barometers on ultrasound showed majority of lesions being heteroechoic or hypoechoic with indistinct margins and presence of benign axillary lymph nodes and posterior caustic shadow. BIRADS was assigned based on USJ which showed majority of patients falling between 4B. Final BIRADS was presented correlating USJ and MAMO which showed minimal discrepancy between the initial BIRADS that was provided. Age distribution showed that 32 to 50 was the average or most common age of presentation. The results of our study were as per the final BIRADS category out of 52 symptomatic patient 40 cases were BIRADS, 11 cases were BIRADS pipe and one was BIRADS sex. Most common presenting company was a progressively growing lump in the breast which was seen and about a quadrant in type B breast with a regular shape and circulated margins and associated axillary lymph nodes with the MAMO and where hypoechoic or heteroechoic with indistinct margins and associated benign and large axillary lymph nodes on USJ. Combined imaging modalities of MAMO and sonically important role in diagnosing palpable breast lesions and assigning the final BIRADS. MAMOgraphy is not a perfect test and several factors like young age, increased breast density and decays its diagnostic accuracy. A high proportion of dense breast tissue can make it more difficult to detect tumors on MAMOgraphy. So the credentials of USJ as a general state that our tests are questionable, it is more than MAMO, it is more sensitive than MAMOgraphy in detecting lesions in female with dense breast. Maging by both combined has higher sensitivity in the differentiation of benign and malignant lesions. MAMO can portray calcifications and malignant lesions including DCIS however in the presence of dense valent gamma in ways of malignancies and malignancies that can spread to lymph nodes or show lymph, show metastasis can be occult on MAMO. For half the women under the age of 50 years are going to prison with heterogeneously dense breast or extremely dense breast which can obscure the lesion and MAMOgraphy. Supplementing USJ with MAMO has the potential to detect these occult and non-capsified lesions in breast with dense valent gamma. Differentiating solid and cystic lesions guides in providing real-time image guidance for USJ detectable mass-fired venicine correlation. The obtained results in PARO get all sure that ultrasonography was certain diagnostic test for detecting breast cancer in patients with high density breast and MAMOgraphy was more accurate than ultrasonography in determination of size and extent of the tumor. Including this 3D, USJ and MAMO together yields a better result than alumodality. The two cannot be used as substitution for the USJ. It's the preformodality in young patients with dense breast and MAMO. Fragment and lactating patients with painful lymph differentiating necrotic from benign lymph node satellite lesions provides a real-time guidance for FNEC-coronatal papacy whereas MAMO is better at detecting microcalcifications, malignant calcification that extends beyond the lesion speculated masses and guiding in studio tactic papacy. It's prognosis and management of breast and MAMOgraphy. These are the articles that I have used as the reference. Thank you.