While density notification laws are helpful there is still a significant disparity that women with dense breast are facing. There are not specific guidelines yet that help assist physicians with the decisions of what supplemental imaging is needed and when for these women. Guidelines for screening women with dense breasts have not been updated since 2016 by the USPSTF, NCCN or ACS! There has been significant data since then to show that whole breast ultrasound along with 3D mammogram increase ca