The images obtained by X-Ray or computed tomography (CT) in adverse conditions may be contaminated with noise that can affect the detection of diseases. A large number of image processing techniques (filters) have been proposed to remove noise. These techniques depend on the type of noise present in the image. In this work, we propose a method designed to reduce the Gaussian, the impulsive and speckle noise and combined noise. This filter, called PGNDF, combines a non-linear diffusive filter with a peer group with fuzzy metric technique. The proposed filter is able to reduce efficiently the image noise without any information about what kind of noise might be present. To evaluate the filter performance, we use mammographic images from the mini- MIAS database which we have damaged by adding Gaussian, impulsive and speckle noises of different magnitudes. As a result, the proposed method obtains a good performance in most of the different types of noise.