I recently (last week) had a mammogram, I get them yearly and have had a benign lump removed. They called me back the same day and asked me to come back in the next day, to folllow up. I have mammos every year now, reduced from my every 6 mo previously. This time the radiologist said I have two areas @ 12 and 3 oclock rt breast of persistent tightly clustered heterogeneous microcalcifications/ rated it a Birad 4. I am 44 yrs old have fibrocystic small breasts (like a-. ;) and they recommended a stereoactic biopsy for the 10th of next month. My question is: what does heterogeneous mean in relation to all this? and does this normally turn out to be benign since ive already had a benign lump removed? I'm not really concerned too much, whatever will happen will happen, but i just want to understand what is going on in my body.