Contact your GP promptly if you notice a new breast or underarm lump, a skin or nipple change, bloody discharge or a breast change that persists. A clinician can decide whether you need a breast clinic, ultrasound, mammography or another assessment route.
I encourage patients to begin with the symptom, not with a self-selected test. Breast imaging works best when it supports a clinical examination and a defined question.
A private scan appointment can be appropriate for a selected pathway, but ultrasound is not a replacement for an urgent breast referral or mammography when those are more suitable.
Written & reviewed by
Dr George XynopoulosConsultant Physician & Cardiologist · GMC 3502763 · Reviewed by Dr George Xynopoulos, GMC 3502763
Clinical review date: 21 August 2026
View full profileSymptoms that need prompt clinical assessment
Arrange a prompt GP or breast-clinic assessment for a new lump, a change in breast shape, skin dimpling or redness, nipple inversion or discharge, a persistent localised change, or a new underarm lump.
Do not wait for routine imaging if you have a new concerning breast symptom. A clinician should guide the assessment route.
Where imaging fits
A clinician may use ultrasound, mammography or other imaging as part of assessment. The choice depends on your symptom, age, examination findings, breast density, prior imaging and local clinical pathway.
| Starting point | Why it matters |
|---|---|
| GP or breast-clinic assessment | Provides examination and the right referral pathway |
| Ultrasound | May assess a focused area or complement other imaging |
| Mammography | Provides a different type of breast image for selected clinical questions |
| Further specialist assessment | May be needed when symptoms or imaging require it |
What to bring to an appointment
Bring details of when the change started, previous breast imaging or reports, family history where relevant and the name of any clinician already involved. This helps the team route you safely.
Results and next steps
The clinic explains the reporting process and the appropriate follow-up route for your examination at booking.
Frequently Asked Questions
References
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