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The most significant risk in breast ultrasound is that the quality of the ultrasound examination depends entirely on the experience of the physician performing it. Ultrasound results often have no meaning when presented to another physician.
No breast radiologist wants to comment on a patient's ultrasound without performing it themselves. The quality of the ultrasound equipment is also important. Lesions can sometimes be missed in ultrasounds performed with older, low-quality equipment.
It's crucial that the center you choose has a good equipment infrastructure.