Although passing reference to the employment of coned views with compression in mammography has been made (1), the technic has been largely ignored in the literature. Gershon-Cohen (3) recommended spot-films for more accurate delineation of suspicious areas, but Wolfe (4) reported that these added little information to that of routine views. Neither author stressed compression of the breast during the spot-film exposures. Our experience has indicated that coned views combined with the additional aid of breast compression often result in a more accurate and confident diagnosis in borderline or indeterminate cases (Figs. 2 and 3). Technic The routine mammographic technic utilized at the University of California Medical Center is patterned after that recommended by Egan (2). Kodak Industrial M film is used exclusively, as is a 12-inch telescoping cylindrical cone of 4-inch diameter. The target-film distance is constant at 30 inches. Other constant factors are a milliamperage of 300 and an exposure time of six seconds. The only variable in the craniocaudad and mediolateral views is that of kilovoltage, which varies between 26 and 34 kV, according to the thickness and density of the breast. The routine craniocaudad, mediolateral, and axillary views are examined immediately after processing. If the results are either unequivocally negative or clearly indicate the presence of benign or malignant disease, the examination is terminated. If the findings are equivocal, however, or an indeterminate lesion is noted, coned-down compression spot-films are obtained. Coned views with compression may be obtained either in the craniocaudad or mediolateral projections. The patient is positioned in the routine manner, and an exposure of one-fifth second is made. This “flash” exposure provides an outline of the entire breast for purposes of localizing the coned area when the films are interpreted (Fig. 2). Without the position of the patient or the film being altered, the cylindrical cone is then extended to a total length of 18 inches, and a simple Styrofoam compression device is inserted. The tube is centered directly over the area of concern and is lowered until the desired amount of compression has been achieved (Fig. 1). To compensate for the reduced target-film distance, which is now at 22 to 25 inches, kilovoltage is reduced from 2 to 6 kV. The full exposure of 1,800 milliamperage seconds is then made. Discussion Although enhancement of detail by cone and compression is in part the result of reduction in scatter, the reduced object-film distance and more complete immobilization of breast tissue appear to be the principal advantages of this technic. These factors are especially critical when a fine-grain film, such as Kodak Industrial M, is used.