Objective To investigate the ultrasonic imaging features of mass type granulomatous mastitis (GM) with different traditional Chinese medicine syndromes based on conventional ultrasound and angio planewave ultrasensitive imaging (AP) techniques, and explore the correlation between traditional Chinese medicine syndromes with ultrasonic features. Methods 80 cases of GM patients with mass type were divided into Qi stagnation heat syndrome group and Yang deficiency spittoon syndrome group. Conventional ultrasound and AP examination were performed to record the ultrasound image characteristics of the patients.Then the ultrasound classification and AP blood flow classification were performed to compare the differences in ultrasound imaging findings between the two groups. At last, we explored the relationship between traditional Chinese medicine syndrome type and ultrasonic manifestation.Results There were no statistically significant differences in tumor location, maximum diameter, longitudinal to transverse ratio, internal echo, posterior echo, with or without punctate strong echo, and catheter dilation in ultrasound images between two groups (p>0.05), but the differences in tumor morphology and edge were statistically significant (p<0.05).The ultrasound classification distribution was significantly different between the two groups(p<0.05), and the correlation between traditional Chinese medicine syndrome type with the ultrasound type was also significant (p<0.05).,and there was a correlation between traditional Chinese medicine syndrome type and ultrasound type (p<0.05) .AP showed that the mass blood grade of patients in Qi-stagnation heat syndrome group was higher than that in Yang-deficiency phlegm-coagulation syndrome group, and the difference was statistically significant (p<0.05).Conclusion Ultrasound have a great value in the traditional Chinese medicine clinical diagnosis and treatment of mass GM.