<prompt> 8 years. old child presents with lethargy multiple epiphyseal breaks, wormian bones with growth retardation and mental retardation Diagnosis isRicketsHypothyroidismScurvyHypoparathyroidism  <response>: Multiple epiphyseal breaks, wormian bones with lethargy, growth retardation and mental retardation suggest the diagnosis of hypothyroidism.X-ray findings of hypothyroidism Delayed appearance of epiphysisMultiple foci of ossification Epiphyseal dysgenesisEpiphyseal breaking of 12th thoracic and 1st or 2nd lumbar vertebrae.Skull Large fontanelleWide suturesWormian bonesEnlarged rounded sella turcicaDelayed dentition 