Multiple punctate calcifications in both breasts are mammogram findings that suggest the presence of calcium deposits in the breasts, which may be benign or malignant. Multiple punctate calcifications in both breasts generally refer to the presence of high density foci in both breasts, which may be caused by benign lesions, such as breast fibroma, cystic hyperplasia of the breast, etc. The distribution of the foci is more scattered and patchy, and if the foci of calcification are more dense, in the form of fine particles and clusters, they may be caused by malignant lesions, such as breast cancer. Patients with multiple punctate calcifications in bilateral breasts should cooperate with doctors for examination and confirm the diagnosis through biopsy, if the lesions are benign, they can be followed up and observed for a period of time by color ultrasound, and if they are malignant, they can be treated with a comprehensive program of surgery, radiotherapy and chemotherapy. Therefore, patients with multiple punctate calcifications in bilateral breasts on X-ray examination should go to the hospital as soon as possible to clarify the cause of the disease and actively cooperate with the doctor for symptomatic treatment after diagnosis.