[Breast imaging: a guide for general practitioners and gynecologists]

Breast complaints are a frequent reason for consultation and require a structured radiologic diagnostic approach to identify the rare cases of breast cancer, avoid unnecessary investigations, and ensure timely referral when needed. When imaging is indicated, the choice of imaging modality mainly depends on the patient's age, which is closely related to breast mammographic density. In women under 30 years of age, ultrasound is the preferred first-line examination; between 30 and 39 years, ultrasound remains the reference modality, with mammography added depending on the findings. From the age of 40 onwards, diagnostic mammography with tomosynthesis, combined with ultrasound, represents the standard evaluation. Breast MRI and contrast-enhanced mammography are reserved for specific indications.