Ask an Expert: View a Question

Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.

We hope you find the information helpful!

ForumQuestionsAsk a Question
Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
14,772 Ask a Question

AskedPublicly Submitted Question
7/20/2017I am 44 y.o. I have had previous screenings with no abnormalities. My screening on 7/06/2017 came normal on the left, but on the right stated "Within the middle one third right breast, just medial to the posterior nipple line and approximately 6 cm from the nipple, there is a questionable 1.2 cm area of architectural distortion." I was seen the next day for more films and ultrasound. The results were "Subtle area of parenchymal distortion within the central to medial right breast seen only on 3-D CC views with no definite ultrasound correlate. BI-RADS 4 Breast Density B. I am scheduled for a wire guided open biopsy next Friday. Not only am I terrified of the surgery, I am terrified of the pathology results. There is conflicting information out there about "architectural distortion" and "parenchymal distortion". How likely is this to turn out malignant? I might note I have had no previous breast surgery or injury. My right breast is noticeably larger, but I don't really know if that is something new. Thank you!
RepliedJHU's Breast Center Reply
7/20/2017Architectural distortion, defined as distortion of the architecture of breast parenchyma without being accompanied by increased density or mass, is considered suspicious but there are a variety of benign causes that can produce this appearance on breast imaging.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.