Objective To study the imaging characteristics of breast fibroadenoma on mammograms.Methods Mammograms of 81 cases with breast fibroadenoma confirmed by operation and pathology were reviewed retrospectively. Results Fifty-four cases had isodense masses;11 cases with highdense masses;13 cases with phyllodes masses.“Membranoid sign” can be seen in 44 cases,19 cases with indistinct margin,6 cases with benign calcifications. Accurate preoperative diagnoses were made in 65 cases. Eight cases were misdiagnosed as breast carcinoma or adenosis respectively.The diagnosis of “no malignant lesions” was made in 8 cases.Conclusion The recognition of typical and atypical X-ray findings of breast fibroaderoma is very important,mammography is a good methods in detecting and differentiating breast diseases.