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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.
Architectural distortion per se is not a mass. It is often due to a desmoplastic reaction in which there is focal disruption of the normal breast tissue pattern.There are several features that can be considered as part of architectural distortion 3 :rchitectural distortion per se is not a mass. It is often due to a desmoplastic reaction in which there is focal disruption of the normal breast tissue pattern. There are several features that can be considered as part of architectural distortion 3 1  : contour abnormality. 2  trabecular thickening. 3  trabecular disorganisation.