What Your Mammogram Report Might Be Hiding

Mammograms are one of the most effective tools we have for detecting breast cancer early. But a “normal” result doesn’t always tell the whole story.

If your report says “no abnormalities found,” that’s a relief, though it doesn’t mean there’s nothing else to review. Your scan may still include critical details that get buried in the fine print unless you know what to look for.

What to Look for in Your Patient Portal

When your mammogram results go live, don’t just glance at the summary. These details matter:

• Breast Density Classification. Look for language like “heterogeneously dense” or “extremely dense.” Roughly 40% of women have dense breasts, which can make mammograms harder to interpret and increase the risk of breast cancer. If your report mentions dense tissue, ask about supplemental imaging like an ultrasound or MRI.
• BI-RADS Score. This score ranges from 0 to 6 and helps categorize the findings. A BI-RADS 1 or 2 generally means no sign of cancer, but knowing your score clarifies whether follow-up is needed or if something unusual — but likely benign — was noted.
• Recommendations for Follow-Up. If your report includes a suggestion for further screening, don’t wait to be contacted. Imaging centers are often backlogged, so taking initiative can move things along faster. Be the one who follows through.

Smart Questions to Ask Your Doctor

You don’t have to decode your results alone. If your mammogram mentions dense tissue, vague findings or next steps, ask your provider:

• “Did my report mention anything about breast density?”
• “Do my risk factors call for an ultrasound or MRI?”
• “What’s my BI-RADS score, and how should I interpret it?”
• “Should I get a risk assessment or genetic testing?”
• “When should I return for another screening?”

These questions help you better understand your breast health and ensure nothing important gets overlooked. Even when everything seems fine, staying informed is never wasted effort.

Dense tissue, subtle changes and unclear results can complicate even a “normal” mammogram. Knowing what your report actually says — not just the summary — lets you push for more precise care.

It’s not your job to be a radiologist. But it is your right to understand what the findings mean and whether any follow-up is needed.

That clarity can make the difference between catching something early or not at all. Sometimes it leads to a diagnosis. Sometimes it leads to peace of mind. Either way, opening your portal, reading beyond the first line and asking the right questions is how you take control.