Pathological Breast Milk Discharge (Galactorrhea): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification.

  • Mammary sonography (ultrasound examination of the breast; breast ultrasound).
  • Galactography (contrast imaging of the milk ducts).
  • Mammography (X-ray examination of the breast).
  • Excision biopsy
  • Computed tomography/magnetic resonance imaging of the skull (cranial CT or cCT/cranial MRI or cMRI).
    • MRI can be used to visualize even the smallest changes in the pituitary gland (e.g., mircoadenomas)
    • CT is now only indicated in exceptional cases, e.g., in the question of calcifications or in the presence of contraindications for an MRI examination.
  • Ophthalmological examinations for visual disorders (here: Perimetry (visual field measurement)) – To determine possible visual pathway lesions (detection of visual field defects due to compression of the optic chiasm: bitemporal hemianopsia / visual disturbance with failure of both temporal visual fields).