Does Breastfeeding Affect Abnormal Chest X-Ray Results? - Radiology

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Does breastfeeding affect abnormal findings in a mammogram report?


Hello, doctor.
I would like to ask you about a recent job requirement for a medical examination.
I have always passed the X-ray checks in the past, but this time there was an abnormality.
Could this be due to not fully emptying my breast milk? Conversely, if my breasts are swollen due to breast milk, could that affect the X-ray report?

Xiao Baozi, 20~29 year old female. Ask Date: 2013/03/04

Dr. Yang Jinghua reply Radiology


Hello, first of all, congratulations on nurturing new life and finding a new job! During the lactation period, the breast tissue is relatively dense, which may interfere with the pulmonary assessment on chest X-rays.
It is recommended to empty the breast milk before the examination.
However, are there any other chest lesions? Please obtain a clear diagnosis through two examinations.
Wishing you safety and health.
Sincerely, Dr.
Ching-Hua Yang, Director of the Radiology Department, Taoyuan General Hospital, Department of Health.

Reply Date: 2013/03/04

More Info


Breastfeeding can indeed have an impact on the results of a chest X-ray, primarily due to the physiological changes that occur in the breast tissue during lactation. When a woman is breastfeeding, her breast tissue becomes denser and more glandular, which can potentially obscure or alter the appearance of underlying structures on an X-ray. This increased density may lead to difficulties in accurately interpreting the X-ray results, as the radiologist may encounter challenges distinguishing between normal breast tissue and any potential abnormalities.

In your case, if you had not fully emptied your breasts before the X-ray, it is possible that the retained milk could have contributed to an abnormal appearance on the imaging. The presence of milk can create a shadow or density that may mimic a pathological finding, leading to a false positive result. Therefore, it is generally advisable for breastfeeding mothers to express or pump milk prior to undergoing imaging studies to minimize the risk of such interference.

Moreover, if your breasts were swollen due to milk accumulation, this could also affect the X-ray results. Swollen breast tissue may appear more opaque on the X-ray, which could complicate the interpretation of any findings. Hormonal fluctuations during breastfeeding can also lead to changes in breast tissue that might not be present in non-lactating women, further complicating the evaluation.

If an abnormality was noted on your chest X-ray, it is crucial to follow up with additional imaging or diagnostic tests as recommended by your healthcare provider. This may include ultrasound or MRI, which can provide more detailed information about the breast tissue without the same level of interference that X-rays might encounter during lactation. Ultrasound, in particular, is a useful tool for evaluating breast abnormalities, as it can differentiate between solid masses and fluid-filled cysts more effectively than X-ray imaging.

In summary, breastfeeding can influence the results of a chest X-ray due to increased breast density and potential milk retention. It is advisable to communicate with your healthcare provider about your breastfeeding status prior to imaging studies. If you have concerns about the results of your X-ray, further evaluation is warranted to ensure accurate diagnosis and appropriate management. Always consult with your healthcare provider for personalized advice and follow-up care based on your specific situation.

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