A clinical breast exam is a physical examination performed by a doctor and involves palpitation, visual inspection, and/or an ultrasound. A mammogram is an x-ray image of the breast used to detect changes in the tissue that may not be visible during the physical exam. While the CBE can help identify suspicious lumps or masses, it's important to remember that it is not intended to diagnose cancer. Only further testing such as imaging or blood tests can determine if cancer is present or not. It's important to have regular check-ups with your doctor and consult with them about any concerns you might have regarding your health. They will be able to provide personalized advice on whether additional testing is necessary or not.