Season 4 Episode 14: Dense Breasts, Mammograms & What Your Screening Can Miss | Dr. Hannah Milch

What does it really mean to have dense breasts—and how does breast density affect what a mammogram can see?

In this episode of The SEAM Podcast, Amy Cohen Epstein sits down with Dr. Hannah Milch, a breast-specialized radiologist at UCLA, for a clear, candid conversation about breast cancer screening, mammograms, ultrasounds, MRIs, and the evolving role of artificial intelligence in early detection.

Dr. Milch explains why dense breast tissue is so common, why mammography remains the foundation of breast cancer screening, when supplemental imaging may be recommended, and why there is no one-size-fits-all answer for every woman. Amy and Dr. Milch also discuss the emotional reality of preventive care: what women can control, what they cannot, and how better information can help patients make more confident choices.

This conversation is especially helpful for anyone wondering:

• What does breast density mean?
• Should I get an ultrasound with my mammogram?
• When is a breast MRI recommended?
• What are the limits of mammography?
• How could AI improve breast cancer screening?

The SEAM Podcast is produced by the Lynne Cohen Foundation, a nonprofit dedicated to breast and ovarian cancer prevention, early detection, and expanded access to preventive care. https://lynnecohenfoundation.org/

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