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That datasets that are used in todays research are especially vast in the medical field. Different types of medical images such as X-rays, MRI, CT scan etc. take up large amounts of space. This volume of data introduces challenges like accessing and retrieving specific images due to the size of the database. An efficient image retrieval system is essential as the database continues to grow to save time and resources. In this paper, we propose an approach to medical image retrieval using DenseNet for feature extraction and use FAISS for similarity search. DenseNet is well-suited for feature extraction in complex medical images and FAISS enables efficient handling of high-dimensional data in large-scale datasets. Unlike existing methods focused solely on classification accuracy, our method prioritizes both retrieval speed and diagnostic relevance, addressing a critical gap in real-time case comparison for radiologists. We applied the classification of breast cancer images using the BIRADS system. We utilized DenseNet's powerful feature representation and FAISSs efficient indexing capabilities to achieve high precision and recall in retrieving relevant images for diagnosis. We experimented on a dataset of 2006 images from the Categorized Digital Database for Low Energy and Subtracted Contrast Enhanced Spectral Mammography (CDD-CESM) images available on The Cancer Imaging Archive (TCIA). Our method outperforms conventional retrieval techniques, achieving a precision of 80% at k=5 for BIRADS classification. The dataset includes annotated CESM images and medical reports, providing a comprehensive foundation for our research., Comment: 34 pages, 5 figures