I'm 41 years old, with a family history of breast cancer. thereis an area of questionable architectural distortion in the outer mid left breast. what should i do?

Please : Consult with a surgeon who does breast surgery to see if you need to have a biopsy of this area. It is difficult to tell here, but it is always better to be safe.

Surgeon: See a surgeon who does a high volume of breast surgery. You need a complete physical breast examination and history. Based on that you may get additional studies including focused ultrasound and / or breast MRI and possibly an image-guided biopsy using one of those modalities. Alternately, if everything checks out fine you may just be advised to have close follow up.

Please complete the: Workup, which will likely include more mammography (assuming only screening mammogram so far), breast ultrasound, and depending on the findings, involvement of a breast surgeon for a history and detailed physical examination. Further workup may include breast MRI and/or breast biopsy in order to make an accurate diagnosis.

More imaging: They should have called you back for additional images. This would start with specialized mammogram views then possibly an ultrasound. If that still does not solve the question, a breast MRI may also be needed.