PMC9733469_01
PMC9733469_02
bilateral gynecomastia
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F1
He had no galactorrhea, but bilateral gynecomastia was noted (Figure 1).
micropenis with bilateral descended prepubertal testes and sparse pubic hair
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F2
Both testes were still palpated in the scrotum, measuring 2 ml using the orchidometer, with a penile length of 2.0 cm, and it is considered a microphallus (Figure 2).
ultrasonography images showing (A) small prostate (arrow); (B and C) small testes with microcalcification within them (R: right, L: left) (arrow)
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F3
Abdominal ultrasonography revealed a normal bladder with small prostate (Figure 3).
a coronal and sagittal T2-weighted MRI image showing bilateral olfactory bulbs agenesis (A), hypoplastic right olfactory sulcus, and aplastic left olfactory sulcus (B), an axial constructive interference in steady state (CISS) image showing an abnormal olfactory sulcus in an axial plane of CISS (C)
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F4
Brain MRI findings of this patient revealed an absent olfactory bulb and narrowed olfactory sulcus, which is consistent with Kallmann syndrome (Figure 4).
karyotyping analysis shows a 46XY pattern
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F5
Karyotyping showed a 46XY pattern (Figure 5).