cacific densities on mammogram

[llp]

I am 35 years old with a family history of breast cancer. I just had a digital mammogram which my doctor said was fine. I asked for a copy of the report and it says 'no suspicious masses, architectural distortion or malignant type calcification'. However, the next line says 'there are benign appearing calcific densities in the superior inner aspect of the left breast'. This has me worried.  There is no recommendation for followup or anything. Is this nothing or should I be trying to follow up for a biopsy or something. My doctor didn't even mention this to me and I wouldn't have known unless I got this copy. Also, the report says my breast density is 75%.

[CCF-RN,MSN-rf]

Dear 11p:  Microcalcifications are small calcium deposits found within the breast tissue. There are different types of microcalcifications, and based on their pattern on the mammogram it gives the radiologist clues as to their cause. For instance microcalcifications that are more scattered are probably due to a benign (non-cancerous) cause, a "cluster" of microcalcifications may increase concern that there may be an underlying tumor and further investigation, such as a biopsy is warranted.  Mammograms are interpreted by a radiologist and given a score called BIRAD that categorizes the results and guides recommendations.  If the interpretation is that the findings are benign, then a BIRAD 1 (normal mammogram) score is given.  Breast densitiy is very common in young women.  It is not a malignant finding but can make mammograms more difficult to interpret.  There is some research indicating that dense breast tissue is a risk factor for breast cancer.  It is important to keep in mind that mammograms reports are generally worded with language that health care professionals are used to and it is important not to try to read too much into the language. We generally recommend that written reports -whether it be radiology studies or pathology studies- be reviewed with your physician rather than trying to interpret them on your own.

[llp]

Sorry, meant to same 'calcific densities'