Should i be concerned if small calcifications show up on a digital mammogram?

NO: Let the radiologists worry, there are both benign and suspicions calcifications that can be seen on mammography. The radiologists will decide if additional imaging is necessary or a short interval mammogram would be appropriate.

Maybe: The majority of times calcifications seen on mammogram represent benign (not cancer) changes. However, new calcifications, or those that are different shapes/sizes or appear to be distributed along the length of a milk duct could indicate cancer so needle biopsy is sometimes recommended. Comparison to old mammograms can be helpful to determine if biopsy is needed or not.

Maybe: Most of the calcifications that show up on mammography are of no concern. Some will require follow up or biopsy. Based on their size, shape, and distribution, the radiologist will be able to determine how the calcifications should be handled.