Wow, you have a whole lot of, thankfully, benign things going on there. That being said some of the changes like the micro calcifications can be concerning for cancer later. If these things are causing you problems then the surgical consult is a great idea. I haven’t one single clue what they might or might not recommend. How do you feel about talking to a surgeon? Also given the density of your breast I would assume you are pretty young, is that correct?