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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.
Mammograms are easier to read in older women because their breast tissue has more fatty tissue than that of younger women. It's easier for an X-ray to go through fatty tissue than dense tissue. This is one of the reasons that mammogram screening is not routinely recommended in women under 40 years of age.n ultrasound of the breast can show all areas of the breast, including the area closest to the chest wall, which is hard to see with a mammogram. While ultrasound can help locate breast problems, it is not a substitute for a mammogram. It is often used in addition to a mammogram to evaluate a breast problem.