Breast imaging · Central London & St Albans · 7 days a week

Private Breast Ultrasound Scan in London

A private breast ultrasound scan at London Private Ultrasound is £219 for one breast and £259 for both. Every scan includes assessment of the armpit as well as the breast tissue, your findings explained during the appointment, and a written report within 24 hours. It takes 20 to 30 minutes, uses no radiation and no compression, and a female sonographer is available on request at no extra charge. No GP referral needed.

A breast ultrasound scan is a quick and painless way to check what is going on in your breast. It uses sound waves rather than X-rays, so there is no radiation and nothing to recover from. It can show whether a lump is a fluid-filled cyst or a solid one, measure it, look at the lymph nodes under your arm, and see through dense breast tissue that a mammogram finds harder to read. Whether you have found something, are following up a previous finding, or simply want peace of mind, you will hear the main findings before you go home.

  • £219 one breast · £259 both
  • Armpit assessment included
  • Female sonographer on request
  • 20 to 30 minute appointment
  • No radiation, no compression
  • Report within 24 hours
  • No GP referral needed
If we find something

We are a diagnostic clinic with a breast pathway behind it. Your scan is explained on the day and your written report follows within 24 hours. Where a finding needs specialist review, we can arrange a breast surgeon consultation, mammography through our partner clinics, or a biopsy pathway, and we provide a referral letter with your confirmed imaging. Extra cost applies for a specialist consultation or a package, which is booked separately and is not included in the scan price.

Quick facts

Breast Ultrasound Scan at a Glance: Cost, Timings and What Is Included

Price£219 one breast · £259 both breasts · all-inclusive, no separate report fee
Also known asBreast scan · breast sonography · breast sonogram · breast ultrasound imaging · breast and axilla ultrasound · bilateral breast ultrasound · private breast ultrasound · breast ultrasound scan London
What is assessedBreast tissue, the axilla (armpit lymph node area), and vascularity by Doppler where clinically appropriate
Appointment timeAllow 20–30 minutes
PreparationNone. No fasting, no fluids, no medication changes. A two-piece outfit is easiest and a gown is provided.
RadiationNone. Sound waves only, and no breast compression.
Female sonographerAvailable on request at no extra charge, subject to availability. Chaperone available on request.
GP referralNot required. Book directly.
ResultsMain findings explained during the appointment · written report within 24 hours
Who it suitsA lump you can feel · focal breast pain · cyst or fibroadenoma follow-up · dense breast tissue · under 40 · pregnant or breastfeeding · family-history reassurance · men with breast swelling
After your scanWhere a finding needs specialist review, a Consultant Breast Surgeon consultation, mammography or a biopsy pathway can be arranged (extra cost applies), booked separately from the scan.
Not a replacement forNHS breast screening by mammography, or an urgent GP referral if you have red-flag symptoms
Locations27 Welbeck Street, Central London W1G 8EN · 54–56 Victoria Street, St Albans AL1 3HZ
Availability7 days a week, 9am–7pm · same-day and next-day appointments often available
Choosing your scan

Private Breast Ultrasound Scan: One Breast or Both?

This is the only decision you need to make before booking, and it comes down to whether you are chasing one specific symptom or want a broader look. Both options include the armpit on the side or sides being scanned, findings explained during the appointment, and a written report within 24 hours.

One Breast

A clear one-sided concern

£219

The focused option. Right when you know where the problem is and want that area assessed properly.

  • Full assessment of one breast
  • Axilla on the same side assessed
  • Cyst versus solid characterisation
  • Findings explained during the scan
  • Written report within 24 hours
  • No comparison with the other side
  • Not suitable as a general breast check
Book one breast · £219
Best value

Both Breasts

Reassurance and comparison

£259

Only £40 more than a single side, and the better choice whenever the question is broader than one lump.

  • Full assessment of both breasts
  • Both axillae assessed
  • Side-by-side comparison, which often settles whether a finding is normal tissue
  • Suits dense tissue, family history and bilateral symptoms
  • Findings explained during the scan
  • Written report within 24 hours
Book both breasts · £259

Not sure which to pick? Book both. Breast tissue is often lumpy in a way that is entirely normal, and being able to compare the same area on the other side is one of the most useful things a sonographer can do. If you would rather talk it through first, call 020 7101 3377 and describe what you have noticed.

What is included

What a Breast Ultrasound Scan Looks For

A breast ultrasound is a real-time examination, which means your sonographer can press on a lump, watch how it moves, compare it with the other side and check the drainage nodes, all in the same appointment. These are the questions it answers.

Cyst or solid mass

The single most useful thing ultrasound does. A simple cyst has a clear appearance that is recognised immediately and is almost always harmless. A solid mass is measured, described and graded, which decides what happens next.

The features of a lump

Size, shape, margins, orientation, internal texture and blood flow. A smooth, wider-than-tall lump with clean edges behaves very differently from an irregular one, and these features are what the ultrasound grade is based on.

The armpit: axilla and axillary lymph nodes

Axillary ultrasound is part of every scan here rather than an extra, which is why the appointment is a breast and axilla ultrasound at a single price. Node size, shape and cortical thickness matter in breast assessment, and a reactive node after an infection or vaccination looks different from a suspicious one.

Focal pain and thickening

Breast pain is rarely caused by anything sinister, but pain in one specific spot deserves imaging rather than reassurance alone. The same applies to an area that feels thicker or firmer than the surrounding tissue.

Known findings, over time

Cysts, fibroadenomas and post-surgical changes are often followed up rather than treated. Ultrasound gives a measurement that can be compared with your previous scan, which is what makes follow-up meaningful.

Implants, ducts and infection

The scan can assess breast tissue around implants, dilated ducts behind a nipple, and collections or abscesses in mastitis. For implant integrity specifically, the dedicated implant scan is the right appointment.

What a breast ultrasound cannot do. It is not a substitute for mammography and it is not a breast screening programme. Ultrasound is much less sensitive than mammography for microcalcifications, the tiny specks of calcium that can be the earliest sign of some cancers, and it does not survey the whole breast in the systematic way a mammogram does. It also cannot confirm or exclude cancer by itself: a definitive answer needs triple assessment, meaning clinical examination, imaging and a biopsy where indicated. This scan is a strong first step and often the only step needed, but where it points to something more, the honest answer is that further tests follow.

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Ultrasound and mammography

Breast Ultrasound or Mammogram: Which Do You Need?

These two tests are often presented as alternatives. They are not. They see different things, and which one is right depends on your age and on whether you are investigating a symptom or checking a healthy breast.

 Breast ultrasoundMammogram
How it works High-frequency sound waves, real time, no radiation Low-dose X-ray with brief breast compression
Best at Characterising a specific lump, telling cysts from solid masses, assessing the armpit, and seeing through dense tissue Surveying the whole breast and detecting microcalcifications, which ultrasound often misses
Usual age First-line under about 40, and at any age for a specific symptom, in pregnancy or while breastfeeding From around 40 upwards, and the basis of NHS screening from 50 to 71
Comfort Gel and a small probe. No compression. Brief compression of each breast, uncomfortable for some people
Result Main findings explained during the appointment, written report within 24 hours Reported separately, timing depends on the provider
At London Private Ultrasound £219 one breast, £259 both, in-house 7 days a week Arranged through our partner clinics, and included in the One-Stop Breast Clinic

Dense breast tissue is where ultrasound earns its place. On a mammogram, dense glandular tissue appears white, and so do many abnormalities, which makes small changes harder to pick out. Ultrasound is not affected in the same way. That is why it is the first-line test for younger women, whose tissue is denser on average, and why it is commonly added to mammography for women who have been told their breasts are dense.

Worth considering

Do I Need a Breast Ultrasound Scan, or a Full Breast Assessment?

A scan answers an imaging question. Triple assessment answers a clinical one. If you have a symptom that worries you, or want the whole thing settled in a single visit rather than in stages, the fuller pathway is usually the better use of the appointment.

Breast Ultrasound Scan

Imaging on its own

£259

Both breasts and both axillae, with your findings explained on the day. Right for a specific concern, follow-up of a known finding, or reassurance under 40.

  • Bilateral breast and axilla ultrasound
  • Findings explained during the scan
  • Written report within 24 hours
  • 20 to 30 minute appointment
  • Referral letter if onward care is needed
  • No clinical breast examination by a surgeon
  • No mammography
  • No same-visit biopsy
Book scan · £259
Most booked

One-Stop Breast Clinic

Triple assessment in one visit

£949

Examination, imaging and the biopsy pathway together, led by a Consultant Breast Surgeon. The route most suited to symptomatic patients aged 40 and over.

  • Bilateral breast and axilla ultrasound
  • Mammography
  • Consultant Breast Surgeon consultation and examination
  • Triple assessment pathway
  • Biopsy add-on if indicated
  • Onward care planned in the same visit
View One-Stop Breast Clinic

There is a middle option too, and here is what it does. The Breast Health Check at £599 gives you the bilateral ultrasound plus a breast surgeon consultation and a clinical examination in the same visit, with mammography added if it turns out to be appropriate for you. In other words, imaging and a specialist opinion together, which is what most people want for reassurance, family-history worries or dense breasts. Call 020 7101 3377 and the team will help you pick between the three.

Who it is for

When to Book a Breast Ultrasound Scan

Most breast changes turn out to be benign, and most of the people scanned here go home reassured. That is a reason to check something rather than a reason to leave it, because the waiting is usually the worst part.

A lump or thickening you can feel

The most common reason to book. Ultrasound can usually tell within minutes whether what you are feeling is a cyst, a solid lump, or a normal area of glandular tissue.

Pain in one specific area

Generalised, cyclical breast pain rarely needs imaging. Pain that stays in one spot, or is there regardless of your cycle, is worth a look.

Under 40, or dense breasts

Younger breast tissue is denser, which limits what a mammogram shows. Ultrasound is the usual first-line test in this group, and a useful addition for anyone told they have dense breasts.

Following up a known finding

A cyst, fibroadenoma or post-surgical change that someone has asked you to keep an eye on. Bring your previous report so the new measurement can be compared.

Family history, or peace of mind

A close relative with breast cancer, or simply wanting a baseline. Bilateral scanning is the sensible choice here, and worth discussing alongside mammography if you are over 40.

Pregnancy, breastfeeding, implants and men

No radiation makes ultrasound the test of choice in pregnancy and while breastfeeding. It is also used for implant-related concerns and for men with swelling or a lump behind the nipple.

If you are between periods and wondering about timing. Breast tissue changes across the menstrual cycle, and lumpiness and tenderness are often at their most noticeable in the week before a period. Ultrasound can be performed at any point in the cycle, so there is no need to wait, but if a lump comes and goes with your cycle it is worth mentioning at the appointment.

Your appointment

What Happens on the Day

Twenty to thirty minutes in a private room, with your top and bra off and a gown provided. Nothing to prepare, nothing to recover from, and no waiting for a letter to find out what was seen.

BeforeBooking

Ask for what you need

Request a female sonographer when you book if you would prefer one, and mention implants or previous surgery. Bring any earlier scan reports, mammogram results or a referral letter. No fasting and no other preparation.

0 minArrival

Private check-in

You are shown to a private scan room. You can bring a partner, friend or family member with you, and a chaperone is available on request whoever is performing the scan.

5 minHistory

A short conversation first

What you have noticed, where it is, how long it has been there, whether it changes with your cycle, and your family history, hormone treatment or HRT. Show your sonographer exactly where the concern is.

10 minScan

The ultrasound

You lie on your back with the arm raised on the side being scanned. Warm gel is applied and a small probe is moved across the breast and then the armpit. There is no compression, no radiation and no needles.

25 minFindings

Explained on the screen

Your sonographer shows you what has been seen, explains the ultrasound grade in plain English, and tells you what follows from it. Questions are expected at this point rather than discouraged.

24 hReport

Written report

A formal written report arrives within 24 hours, suitable for your GP, a breast surgeon or an insurer, with a referral letter included where onward care is needed.

Reading your result

What U1 to U5 Means on Your Breast Ultrasound Report

UK breast imaging uses a five-point ultrasound grade, and your report will carry one. It is worth knowing what the numbers mean before you read them, because most people are given a U1 or U2 and the words that go with those grades are the ones you are hoping for.

GradeWhat it meansWhat usually happens next
U1 Normal Nothing abnormal seen. No further imaging needed on the basis of the scan. Stay breast aware and see your GP if anything changes.
U2 Benign A clearly harmless finding such as a simple cyst, a typical fibroadenoma or a lipoma. Usually reassurance only. A painful cyst can sometimes be drained.
U3 Indeterminate, probably benign Features that are most likely harmless but not definitively so. Usually a Consultant Breast Surgeon review, a repeat scan at an interval, or a biopsy to settle it.
U4 Suspicious of malignancy Prompt specialist referral, with mammography and a biopsy as part of triple assessment. A referral letter is issued the same day.
U5 Highly suspicious of malignancy Urgent specialist referral and biopsy. We contact you directly and help arrange the next appointment rather than leaving it with the report.

A grade is not a diagnosis. U4 and U5 describe how a finding looks on a screen, not what it is, and a proportion of them turn out to be benign once biopsied. Equally, a U2 is not a promise for life: if something changes, gets bigger, or starts to feel different, it should be looked at again. The equivalent international system you may see quoted is BI-RADS, which runs from 1 to 6 and maps closely onto the same categories.

Cost and value

How Much Does a Breast Ultrasound Cost in the UK?

Ours is £219 for one breast and £259 for both, all in. Across London, private breast ultrasound generally runs from about £160 to £500, and the spread has less to do with the scan than with what is bundled around it. Several clinics quote a scan price with the report, the armpit or a consultation charged separately, so it pays to compare inclusions rather than headlines.

What the £219 or £259 covers

Full ultrasound assessment of the breast tissueIncluded
Axilla (armpit) lymph node assessmentIncluded
Cyst versus solid mass characterisation and measurementIncluded
Doppler vascularity assessment where clinically appropriateIncluded
Comparison with your previous imagingIncluded
Findings explained during the appointmentIncluded
Ultrasound grade (U1 to U5) stated in plain EnglishIncluded
Written diagnostic report within 24 hoursIncluded
Female sonographer on requestIncluded
Referral letter to a GP or breast surgeon if neededIncluded
Consultant Breast Surgeon consultation, mammography or biopsyArranged separately
Total, all-inclusive£219 / £259

On the NHS there is no direct cost once your GP has referred you, and if you have red-flag symptoms that referral should be urgent with a two-week target. Booking privately buys speed, choice of clinician and a report you keep, and it sits alongside NHS care rather than replacing it. If you would like the scan alongside a Consultant Breast Surgeon consultation and mammography where appropriate, the breast health packages work out better value than booking each element separately.

Related services

If your concern is narrower or broader than a standard breast scan, these are the routes that usually make sense.

Breast Implant Ultrasound

A dedicated assessment of implant integrity, signs of rupture and capsular change, alongside the surrounding breast tissue and axilla.

Breast Lumps & Bumps Ultrasound

A focused scan when the question is a specific lump, bump or area of thickening, with the same axilla assessment and 24-hour report.

from £219View scan →

Breast Ultrasound + Shear Wave Elastography

Standard ultrasound plus a quantitative measurement of tissue stiffness, used as an adjunct where a finding needs further characterising.

Breast Specialist Consultation

Face-to-face review with our Consultant Breast Surgeon: examination, review of previous imaging, second opinions and next-step planning.

Breast Health Check

Bilateral ultrasound with a Consultant Breast Surgeon consultation and clinical examination, with mammography where clinically appropriate.

Private Breast Clinic

The full picture of what we offer for breast health, from single scans through to consultant-led assessment and onward care.

Find us

Breast Ultrasound Near Me: Central London and St Albans

Two clinics, seven days a week, 9am to 7pm, with same-day and next-day appointments frequently available. Both run the full breast and axilla scan at £219 for one breast and £259 for both, with a female sonographer available on request.

London Private Ultrasound clinic at 27 Welbeck Street in the Harley Street Medical District, Central London

Central London: Harley Street Medical District

27 Welbeck Street, London W1G 8EN

Two minutes from Bond Street (Elizabeth line, Central, Jubilee), five from Oxford Circus, eight from Marylebone and Baker Street. Convenient for patients travelling in from Mayfair, Fitzrovia, Soho, the City and Paddington.

020 7101 3377 · Get directions

London Private Ultrasound clinic entrance, St Albans, Victoria Street

St Albans: Hertfordshire

54–56 Victoria Street, St Albans AL1 3HZ

A short walk from St Albans City station, with parking nearby. Convenient for patients across Hertfordshire, North London, Watford, Hatfield, Harpenden and Welwyn Garden City, and for those travelling in from Essex and Buckinghamshire.

Contact the clinic · Get directions

Accredited · Regulated · Trusted

Registered & Regulated

Your scan sits within a CQC-registered pathway, performed by clinicians on the UK’s professional registers, with consultant breast surgery review available where it is needed.

  • CQCCQC registered clinic
  • GMCGMC registered doctors
  • ABSAssociation of Breast Surgery
  • BMUSBMUS ultrasound standards
  • HCPCHCPC registered sonographers
4.8Google Rating
1,200+Verified Reviews
35,000+Patients Served
2012Harley Street Est.
Who you will see

The Team Behind Your Breast Scan

Your scan is performed and explained by an experienced ultrasound clinician, with a Consultant Breast Surgeon available for review where a finding needs one. Female consultant sonographers are available on request at no extra charge.

Mr Debashis Ghosh, Consultant Breast Surgeon at London Private Ultrasound

Mr Debashis Ghosh

Consultant Breast Surgeon

GMC registered · Association of Breast Surgery member · Breast clinic lead

Mr Pedram Aghaei, Vascular Scientist and Ultrasound Consultant at London Private Ultrasound

Mr Pedram Aghaei

Vascular Scientist & Ultrasound Consultant

MSc general, gynaecology and vascular medical ultrasound · PGD breast ultrasound · Co-founder

Mrs Hosna Rashidi, Consultant Sonographer at London Private Ultrasound

Mrs Hosna Rashidi

Consultant Sonographer · Female

HCPC registered · Available on request at no extra charge

London Private Ultrasound breast imaging team

Mrs Ruchi Gupta

Consultant Sonographer · Female

HCPC registered · Available on request at no extra charge

Dr Babak Soleimanpour, Medical Director and GP at London Private Ultrasound

Dr Babak Soleimanpour

Medical Director & GP

MD · MRCGP · DRCOG · GMC registered · Clinical governance

Mrs Fatemeh Selahi, Co-founder and CQC Champion at London Private Ultrasound

Mrs Fatemeh Selahi

Co-founder & CQC Champion

Co-founder of London Private Ultrasound · CQC Champion supporting clinic standards and patient experience

Mr Ali Aghaei, Pharmacist Prescriber at London Private Ultrasound

Mr Ali Aghaei

Pharmacist Prescriber

MPharm · Pharmacist Prescriber · GPhC registered · Medication review

Questions

Breast Ultrasound Scans: Frequently Asked Questions

The questions our breast team is asked most often, answered plainly.

How much does a breast ultrasound cost in the UK?

At London Private Ultrasound a breast ultrasound scan is £219 for one breast and £259 for both breasts, all-inclusive. Both prices cover assessment of the armpit, Doppler where clinically appropriate, your findings explained during the appointment and a written report within 24 hours.

Across London and the UK, private breast ultrasound generally ranges from roughly £160 to £500. The spread is mostly about what is bundled in: some quotes cover the scan only, with the report, the axilla or a consultation charged separately. Ask what is included before comparing headline figures.

How much does a private mammogram cost in London?

A standard 2D private mammogram in the UK generally costs around £150 to £300, and London prices sit at the upper end of that range. 3D mammography, also called tomosynthesis, is usually £250 to £500. A one-stop breast clinic bundling a consultant appointment, imaging and same-day results normally starts around £400 and rises with what is included.

We are an ultrasound clinic, so mammography is arranged through our partner clinics or as part of the One-Stop Breast Clinic at £949 with a Consultant Breast Surgeon. What we perform in house is the breast ultrasound at £219 for one breast and £259 for both. If you are under 40 or investigating a specific lump, ultrasound is usually the appropriate first test anyway, so a mammogram may not be what you need.

How much does private breast screening cost, and what is included?

Private breast screening covers several different things, which is why quoted prices vary so widely. A breast ultrasound is £219 for one breast or £259 for both here, with the armpit and the written report included. A private mammogram is usually £150 to £300, or £250 to £500 for 3D. A full assessment combining a Consultant Breast Surgeon examination with imaging and same-day results generally starts around £400 across the market, and ours is the One-Stop Breast Clinic at £949.

Worth knowing before you compare: NHS breast screening by mammography is free for women aged 50 to 71 and runs every three years, so paying privately mainly buys speed, choice of clinician, or access if you fall outside that age band. Under 40, ultrasound rather than mammography is the test that suits denser tissue, which is why the £219 or £259 scan is the usual starting point for younger women.

Can I book an axilla or armpit ultrasound on its own?

The axilla is assessed in every breast ultrasound at no extra charge, so a breast and axilla ultrasound is the standard £219 or £259 appointment rather than an add-on. Most people searching for an axillary ultrasound in London are already covered by booking the breast scan.

If the armpit is your only concern, for example a lump under the arm, a node that swelled after an infection or a vaccination, or a node someone has asked you to keep an eye on, the lymph node ultrasound for one area at £219 covers a single node group on its own. Tell us which side and what you have noticed when you book, and the clinic team will confirm which appointment fits.

Can a breast ultrasound tell whether a lump is a cyst?

Yes, and this is the question ultrasound answers best. A simple cyst has a characteristic appearance: well defined, fluid filled, no internal echoes and no blood flow. It is recognised in seconds, graded U2, and usually needs nothing beyond reassurance. Complicated and complex cysts look different and are described as such, with follow-up or aspiration advised where appropriate.

Draining a cyst is a procedure performed by a breast specialist rather than part of a diagnostic scan. Where a cyst is painful or needs aspirating, we provide the report and can arrange a Breast Specialist Consultation (£349) with our Consultant Breast Surgeon. That appointment carries an extra cost and is booked separately from the scan.

Can I get a same-day breast ultrasound in London?

Often, yes. Both clinics run seven days a week from 9am to 7pm, and same-day or next-day slots are frequently available. Call 020 7101 3377 or message us on WhatsApp and the team will tell you what is free today.

We work by appointment rather than as a walk-in service, so it is worth calling ahead rather than arriving unannounced. There is nothing to prepare for the scan itself, so booking at short notice costs you nothing, and you will still have your findings explained before you leave with the written report following within 24 hours.

Who will perform my breast ultrasound?

A specialist breast sonographer or ultrasound consultant, never delegated. A female clinician is available on request at no extra charge, subject to availability, and a chaperone can be arranged. Mrs Hosna Rashidi and Mrs Ruchi Gupta are both female ultrasound consultants who scan here.

The breast pathway is led by Mr Debashis Ghosh, Consultant Breast Surgeon, so if your scan needs specialist review the referral goes to a named breast surgeon rather than into a queue. Medical governance sits with Dr Babak Soleimanpour, Medical Director, GMC 6060555.

Do you offer 3D breast imaging or automated whole breast ultrasound?

We perform handheld ultrasound by a consultant or specialist sonographer rather than automated whole breast ultrasound, known as ABUS. Handheld scanning lets the clinician press on the lump, watch how it moves, compare it with the other side and check the armpit in the same appointment, which is what most people booking because of a symptom actually need. It also means the person who sees the images is the person who explains them to you.

In breast care, 3D imaging usually means 3D mammography, or tomosynthesis, which is an X-ray test arranged through our partner clinics. If you want more information about a solid lump than greyscale ultrasound alone gives, breast ultrasound with shear wave elastography at £539 measures tissue stiffness alongside the standard scan.

Can I self refer for a breast ultrasound?

Yes. A private breast ultrasound can be booked without a referral. You can book directly online, by phone on 020 7101 3377 or by WhatsApp, and same-day appointments are often available seven days a week.

If you do have a referral letter, a previous scan report or mammogram images, bring them. A comparison with earlier imaging is genuinely useful and can change how a finding is interpreted.

Can a breast ultrasound detect breast cancer?

Ultrasound can detect many breast cancers, and it is particularly good at showing whether a lump is a simple cyst or a solid mass, and at assessing the lymph nodes in the armpit. What it cannot do on its own is confirm or exclude cancer.

Findings are given a grade from U1 (normal) to U5 (highly suspicious of malignancy), and anything graded U3 or above needs further assessment. A definitive diagnosis comes from triple assessment: clinical examination, imaging, and a biopsy where indicated. Ultrasound is also less sensitive than mammography for microcalcifications, which can be the earliest sign of some cancers, so it is not a replacement for breast screening.

Can I have a breast scan instead of a mammogram?

It depends on your age and on why you are being scanned. Under about 40, breast tissue is denser and ultrasound is usually the first-line test, so a scan on its own is often the right choice for a specific symptom.

From around 40 upwards, and for anyone wanting a screening check rather than an answer to one symptom, the two tests answer different questions and work best together: mammography surveys the whole breast and picks up microcalcifications, while ultrasound characterises a specific lump and sees through dense tissue. Breast ultrasound alone is not a substitute for NHS breast screening. If mammography is likely to be appropriate, our One-Stop Breast Clinic combines examination, ultrasound and mammography in one visit.

Should I book one breast or both?

Book one breast (£219) when you have a clear one-sided symptom: a lump you can feel, focal pain in one spot, a nipple change on one side, or follow-up of a finding already known about.

Book both breasts (£259) for reassurance and screening-type checks, family-history concerns, dense breast tissue, symptoms on both sides, or when a side-by-side comparison would help. If you are unsure, book both, or call the team and they will help you choose.

Can I request a female sonographer?

Yes. A female sonographer is available on request at no extra charge, subject to appointment availability, so please mention it when you book rather than on arrival.

A chaperone is also available on request whoever performs your scan, and you are welcome to bring a partner, friend or family member with you.

Is a breast ultrasound painful, and is it safe?

It is not painful. There is no breast compression of the kind used in mammography, and no needles. Warm gel is applied and a small probe is passed over the skin with light pressure. If an area is already tender, say so and the technique can be adjusted.

Ultrasound uses sound waves rather than ionising radiation, so there is no radiation dose, no known side effects and no limit on how often it can be repeated.

Do I need to prepare, and what should I wear?

There is no preparation. You do not need to fast, you can take all medication as normal, and there is nothing to drink beforehand.

A two-piece outfit is easiest because only your top and bra need to come off, and a gown is provided. Avoid heavy moisturiser, oil or talc on the chest that day, as they interfere with the gel.

How long does the scan take and when do I get my results?

Allow 20 to 30 minutes for the appointment. Your sonographer explains the main findings during the scan and shows you the images on screen, so you do not leave without knowing what was seen.

A formal written report follows within 24 hours and can be shared with your GP, a breast surgeon or an insurer.

What do U1 to U5 mean on a breast ultrasound report?

UK breast ultrasound reports use a five-point grade. U1 means normal. U2 means a benign finding, such as a simple cyst or a typical fibroadenoma. U3 means indeterminate or probably benign, which usually prompts further assessment or a repeat scan. U4 means suspicious of malignancy and U5 means highly suspicious, and both lead to prompt specialist referral and usually a biopsy.

The equivalent international system is BI-RADS. Your report states the grade and the recommended next step in plain English.

Is breast ultrasound available on the NHS?

Yes. If you see your GP with a breast symptom they can refer you to an NHS breast clinic, and for anything suspicious that referral should be urgent, with a two-week appointment target. NHS breast screening by mammography is offered separately to women aged 50 to 71 in England, every three years.

Booking privately does not replace either route. What it buys is speed and choice: an appointment usually within a day or two, a female sonographer on request, and a written report you keep. If your symptom is one of the urgent red flags, see your GP as well rather than instead.

I have dense breast tissue. Is ultrasound useful?

Yes, this is one of the situations where ultrasound adds most. Dense tissue appears white on a mammogram, and so do many abnormalities, which makes small changes harder to see.

Ultrasound is not affected in the same way and can look through dense tissue, which is why it is often used alongside mammography for women with dense breasts and as the first-line test in younger women, whose tissue is denser on average.

Can I have a breast ultrasound while pregnant or breastfeeding?

Yes. Ultrasound uses no radiation and is safe at any stage of pregnancy and while breastfeeding, which is precisely why it is the preferred test in these situations when mammography is best avoided.

It is also used to assess breastfeeding-related problems such as blocked ducts, abscesses and complications of mastitis. Feeding or expressing before the appointment can make the scan more comfortable.

Can men have a breast ultrasound for gynaecomastia?

Yes. A male breast ultrasound is the standard first test for lumps, swelling or tenderness behind the nipple, which is commonly gynaecomastia, spelled gynecomastia in US sources, meaning benign enlargement of breast tissue. Ultrasound separates true glandular enlargement from fat, measures it and checks the armpit at the same time, so the cause is assessed properly rather than assumed.

Male breast cancer is uncommon but does occur, so a new one-sided lump in a man is worth imaging. The scan and the price are the same, £219 for one side or £259 for both.

Can you scan breast implants?

Yes, and if implants are your main concern the dedicated Breast Implant Ultrasound at £269 is the right appointment, since it focuses on implant integrity, signs of rupture and capsular changes as well as the surrounding tissue.

A standard breast ultrasound assesses breast tissue in the presence of implants but is not an implant integrity study. Tell us you have implants when you book either way.

What happens if something is found?

You are told on the day, with the finding shown to you on screen and the ultrasound grade explained. A benign finding such as a simple cyst usually needs nothing more than reassurance, and sometimes drainage. An indeterminate or suspicious finding needs onward assessment, which may mean a Consultant Breast Surgeon review, mammography, or a biopsy.

We provide a written report and a referral letter at no extra charge, and can arrange a Breast Specialist Consultation (£349) or the One-Stop Breast Clinic (£949) with our Consultant Breast Surgeon. Those specialist appointments carry an extra cost and are booked separately from the scan. Your report is yours to use in the NHS or privately, whichever you prefer.

When should I see a doctor urgently instead of booking a scan?

See your GP promptly, rather than only booking a scan, if you have a new lump that does not go away, a lump in the armpit, skin dimpling or puckering, a nipple that has newly turned inwards, bloody or single-duct nipple discharge, an eczema-like rash on the nipple, or a rapidly enlarging, red, hot or swollen breast.

These are the features that warrant an urgent NHS breast clinic referral, with a two-week appointment target. A private scan can run alongside that referral and give you an answer sooner, but it should not delay seeing your GP.

Where can I get a breast ultrasound near me in London?

London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone, and convenient for Mayfair, Fitzrovia, Soho, the City and Paddington.

St Albans is at 54–56 Victoria Street, AL1 3HZ, serving Hertfordshire, North London, and patients travelling in from Essex and Buckinghamshire. Both are open seven days a week, 9am to 7pm, with same-day appointments often available.

Medical disclaimer. This page is general information and does not replace individual medical advice. Breast ultrasound is accurate but not infallible: it is less sensitive than mammography for microcalcifications, it does not exclude breast cancer on its own, and a normal scan on one day does not guarantee that a change will not develop later. Ultrasound grading and onward pathways described here follow standard UK breast imaging practice and are interpreted in full clinical context. If you have a new breast lump, a lump in the armpit, skin dimpling, a newly inverted nipple, bloody nipple discharge, a nipple rash, or a rapidly red, hot and swollen breast, see your GP promptly for assessment as well as booking any private scan.

Book Breast Ultrasound · From £219
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