Hello and welcome to MedHelp's forums. Thank you for your question and we apologize for the delay in response. Have you scheduled a biopsy for this situation? Please do as I am sure this is the suggestion for your next step. However, please know that often, just as with the first time you had calcifications, that this turns out to be a benign situation even with a Birad of 4. https://www.webmd.com/women/guide/breast-calcification-symptoms-causes-treatments#1. Calcifications form for a number of reasons including aging, diet or past trauma to the area. Do follow up and evaluate this but try not to worry before you have to. We'll be thinking of you and please let us know how your biopsy goes.