This technical report discusses contrast mammography, which involves the use of iodinated contrast agents in mammographic x-ray imaging to enhance the detection of breast lesions. The document outlines the principles of contrast mammography, including its utility in identifying metabolically active lesions and its advantages over conventional imaging, particularly in dense breast tissue. It details the imaging techniques employed, such as dual energy imaging and background subtraction, which enhance the visibility of contrast agents in breast tissue. The report also compares contrast mammography with MRI, highlighting its potential as a lower-cost alternative while noting the clinical applications and limitations of each method. Additionally, the report presents findings from various studies that evaluate the performance of contrast mammography against traditional imaging methods. It concludes with a discussion on the safety and contraindications associated with the use of iodinated contrast agents, emphasizing the need for proper patient assessment prior to the procedure.