The main disparity existing between mammograms and ultrasounds is in their usage. Mammograms are specially designed to target the breast region, while ultrasounds can be employed for almost all the internal areas of the human body. Mammograms use radiation although in small amounts, while ultrasounds makes use of sound waves, which means that the patients would not be exposed to potentially harmful radiation waves.
Mammogram provides the image of the entire breast, and it often identifies lumps which cannot be felt nor seen externally. Ultrasounds in contrast are highly directed. This means ultrasounds are useful if the patient can feel a lump and the sonographer can just place the camera over the specific area.
They are also very useful if a mammogram has detected lesion that is unusual, in this case the ultrasound would then hone in on that suspected area. Ultrasounds are ineffective screening mechanisms, and they rarely detect small lumps on their own.