The document discusses variation in how radiologists assess breast density on mammograms. In a study of 250 mammograms read by 8 radiologists, there was significant variability, with full agreement on density in only 28% of cases. Radiologists disagreed on the distinction between scattered fibroglandular tissue and heterogeneously dense tissue in about 32% of cases. Standardizing breast density assessment is important because density affects cancer risk estimates and screening recommendations, but current methods lack consistency.