Experimentally obtained ultrasonic phase aberration profiles in the breast were used to investigate the impact of acoustic velocity variations on images of simulated breast lesions. The imaging properties of several phased-array transducers with varying frequencies and geometries were studied as phase error profiles of increasing magnitude were introduced. The targets studied were anechoic lesions of various sizes. The results indicate that phase aberrations significantly degrade the contrast of ultrasonic breast images, especially for high-resolution scanning systems.