A breast scanning system (10) configured to scan a breast of a patient includes a table (38) configured to receive the patient thereon. The table has an aperture (42) formed therein configured to receive the breast of the patient pendant therethrough and positionable over and into a bath (14) configured to contain a medium. A transmitter array (18) and a receiver array (20) are disposed in the bath to obtain transmission speed of sound or attenuation data. In addition, a reflection array (22) is disposed laterally between the transmitter array and the receiver array to transmit acoustic signals through the breast and receive reflected acoustic signals from the breast to obtain reflection data from the breast.
