Inconsistency in breast imaging is remarkably frequent. Even a simple photograph can mislead, depending upon whether or not the arms are held by the sides, are raised above the head or are akimbo. However, the real gold standard in three dimensional imaging is described in this carefully researched and ingenious technique which is demonstrably reproducible. Not everyone will have access to all the equipment at the author’s disposal, but should comparisons be valid, then a similarly robust system must be employed.