Screening mammography has been shown to reduce the number of deaths due to breast cancer. Recent data have shown that there is low patient and physician participation in screening mammography in Jamaica. Breast imaging is concerned primarily with early detection of breast cancer. Despite technological advances, mammography continues to play a pivotal role. In this report, the authors will review the available imaging modalities and their role in screening patients for breast cancer as well as the evaluation of the symptomatic patient with particular reference to the situation in Jamaica.