The housing for a breast imaging system contains an x-ray source and is configured to rotate relative to the breast. The housing for an x-ray receptor has a breast support platform and extends from an arm assembly which rotates independently from the x-ray source housing. A compression arm assembly connected to the arm assembly moves between a first linear position proximate the x-ray receptor housing and a second linear position distal the x-ray receptor housing. A pair of extension arms are pivotably connected to a strut which removably secures a compression paddle to the compression arm assembly substrate. The extension arms move between a first pivoted position substantially aligned with the strut and a second pivoted position disposed at an angle to the strut.