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An architectural distortions on a mammogram is basically a disruption of the normal â random â pattern of curvilinear and fine linear radiopaque structures normally seen on a breast X-ray. There is no visible mass, but the distortion often appears as a â stellate â shape or with radiating speculations.he number of those women in which the architectural distortion would actually represent invasive breast cancer is very low, perhaps 5%-7% of the 4% with architectural distortion, which becomes a very small number.
It is normal to use lower-energy X-rays (typically Mo-K) than those used for radiography of bones. Ultrasound, ductography, positron emission mammography (PEM), and magnetic resonance imaging (MRI) are adjuncts to mammography.Ultrasound is typically used for further evaluation of masses found on mammography or palpable masses not seen on mammograms.omen whose breast cancer was detected by screening mammography before the appearance of a lump or other symptoms commonly assume that the mammogram saved their lives. In practice, the vast majority of these women received no practical benefit from the mammogram.