If small calcifications show up on a digital mammogram, should i be concerned about cancer?

Yes: Microcalcifications on a mammogram can be a sign of cancer and need follow-up. Magnification mammography can be helpful in evaluating calcifications for malignant (cancer) characteristics. If there is any question about the nature of the calcifications, biopsy will necessary.

Need follow up: Calcifications can be benign or malignant. If malignant, it is usually a early, treatable cancer. If calcifications are on a mammogram that were not present before, you need additional mammogram views. This includes magnification for a better look. In most instances, it will be recommended to repeat the views in 3-6 months. In some cases a biopsy may be necessary.

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.