Multiple punctate calcifications generally suggest a high probability of benign lesions, and the presence and severity of suspected malignancy should be determined in conjunction with other descriptions of the calcifications. Punctate calcifications are round calcifications <0.5 mm in diameter. Punctate calcifications are usually multiple and vary in size and brightness. Punctate and round calcifications are typical benign calcifications. If multiple punctate calcifications are diffusely distributed or in isolated aggregates, they are usually benign and can be followed up and observed. However, if the calcifications are distributed in lines or segments or adjacent to the tumor, they are suspicious for malignancy. In addition, if there are new or progressively enlarging calcifications compared with the previous mammogram during follow-up, it is also a suspicious sign of malignancy. If there is a suspicion of malignancy, a biopsy is often recommended. If the biopsy result is benign, it is usually not serious; if it is malignant, it is more serious and may be a malignant lesion such as breast cancer, which requires radical surgery, radiotherapy and other comprehensive treatments. Patients are advised to consult a specialist with the report, make a comprehensive judgment based on other descriptions in the report, and follow the doctor's instructions for further examination and treatment.