460 women underwent screening mammogram and adjunct ultrasounds were examined. 18 patients underwent tissue biopsies and histopathological correlation. The radiological data of all the patients for screening were retrieved from the Columbia Asia hospital data base prospectively. Mammography was performed with standard craniocaudal and medial lateral oblique views and a consultant radiologist would review the Images on 5 MP Barco monitor. The sensitivity of mammography alone in detecting breast cancer on histopathological correlation was 66.6% while on adding ultrasound it was statistically more significant in identifying breast cancers with 100%, causing an improvement in sensitivity of 33.4%.