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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.
Typical mammographic findings from breast cancer screening mammograms would include asymmetrical breast tissue, asymmetric density, architectural distortion, mass, microcalcifications, interval changes compared with previous films, adenopathy, and other miscellaneous findings. What the hell, Doc.n asymmetric density in terms of the first mammographic finding usually refers to an â opacity â (obscured view in part of the breast) which is visible on only one projection (or one â view or angle â of the X-ray).