Shammas RL, Broadwater G, Cason RW, et al. - Researchers sought to determine how breast reconstruction influences the frequency of postmastectomy imaging, the relative utility of imaging, and its influence on overall and locoregional recurrence-free survival. Breast cancer patients (n = 1,216) on whom mastectomy with or without reconstruction was performed were assessed via performing a retrospective review. Among these patients, 662 (54.4%) underwent mastectomy only and 554 (45.6%) underwent breast reconstruction. Patients undergoing reconstruction vs those undergoing mastectomy only underwent imaging more frequently (n = 205, 37.0% vs n = 168, 25.4%); however, after adjusting for age and follow-up time, this difference was not statistically significant. Most radiographic studies were BI-RADS 1 (n = 58, 30%) or 2 (n = 95, 49%); non-surgical providers mostly ordered these (n = 128, 63%). Observations here emphasize the limited utility of routine postreconstruction imaging when assessing breast reconstruction patients. They suggest performing multidisciplinary collaboration when venturing to differentiate benign postsurgical findings from a malignant process to decrease unnecessary imaging and biopsies following breast reconstruction.