Yesterday, 03:55 AM
Yes. Possible, but not sure that its necessary. I, like you, am wondering what they are looking for. Localized area of infection or abscess can be seen on ultrasound, not so well on mammogram even without the patient lactating. Generalized breast pain can be very obscure as far as imaging goes. We scan a lot of patients with pain and I have yet to see a cause for it. Mind you, I am speaking specifically from an ultrasound standpoint. Obviously there are clinical explanations for pain. You may have something going on that doesnt present on imaging studies.
My question would be, if you have a history of mastitis, would that not be an explanation for your pain? The only thing I can think of is if they are wondering if there is a mass blocking a duct, which I would think would be the least likely cause. Not to say that its not worth investigating, that's between you and your doctor. But given that you are breastfeeding and I think without a localized area, it may be difficult to find with either mammogram and/or ultrasound.
Just throwing this out there, hormones are thought to cause breast pain in many women. I am not sure of the severity of your pain and if you have associated symptoms of infection such as redness, swelling, warmth, fever, elevated white blood cell count, etc. But occasional shooting pain MAY be associated with changes in hormones.
Again, NOT a doctor.. just speaking from a little experience in an imaging clinical setting.