"Possible" architectural distortion means that something looks off but it might not actually be there. That's why you'll be having the diagnostic mammogram, which provides a magnified view, and an ultrasound, which looks at the area using a different technology that "sees" the breast tissue differently. While architectural distortion can be a sign of breast cancer, more often, the follow-up screening finds nothing of concern.

Architectural distortion found on a mammogram

https://breast-cancer.ca/archite-reast-mammo/

"Breast cancer commonly causes architectural distortion.

Architectural distortion uncommonly indicates cancer. More common is for architectural distortion to be 'imaginary' in the perception of the radiologist."

It's not easy to be positive when you have a call-back. It is scary. But at this point, you are right at the start of the diagnostic process. 95% of women who get call backs are not diagnosed with cancer. Radiologists schedule call-backs for a more detailed view whenever they see anything on a mammogram, even if what they see appears highly likely to be benign. They want a closer look, just to be sure. And at the call-back, if the Radiologist assesses just a 2% (or greater) risk that the area of concern might be cancer, then a biopsy will be recommended.

How extensive is your family history of breast cancer?

Good luck with the diagnostic mammogram and ultrasound. Let us know how it goes.

Has anyone in the family had genetic testing done?

M8m8m8ry1965, we do understand how upsetting it is to receive a call back. Beesie raises a good point about getting genetic testing, given your family history. You may find this helpful to read: Genetic Testing.

Please keep us posted!

Warmly,

The Mods