In five distinct sessions, using a case-based approach supported by evidence-based literature review. Session 1 will take the attendee through the histopathologic basis for benign and malignant breast disease with imaging correlates. Conventional topics with simplified and novel strategies are presented to both review and advance the practice of mammography and ultrasound. Session 2 focuses on imaging diagnoses for which surveillance may be reasonable and will emphasize techniques and analytic parameters regarding intervention and tissue diagnosis. Session 3 will address the critical issues of breast density risk assessment as well as perspectives on supplementary screening such as whole breast ultrasound and tomosynthesis. Session 4 explores in depth both current and evolving concepts and strategies in MRI interpretation with review of literature and case based presentation. Session 5 explores the issues of medical legal accountability in interpretation and communication as well as providing strategies to avoid liability.