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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.
Diagnostic mammograms are performed when the patient or the physician feel an abnormality and need further evaluation of the area. Sometimes an ultrasound of the breast will also be performed. 1  Traditional film mammography-a 2-dimensional (2D) image taken on film. 2  2D digital mammography-a 2D image that is digital quality instead of film. 3  3D digital mammography-a 3-dimensional (3D) image.