PMC7784113_01
Eunuchoid proportion (A) height of 162 centimeters; (B) arm span of 171 centimeters.
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He presented with eunuchoid proportion (Figure 1) with a height of 162 cm and arm span of 171 cms.
Bilateral gynecomastia, moderately enlarged without skin excess in an overweight 20-year-old male.
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He has gynecomastia without galactorrhea (Figure 2).
Tanner stage 1 (A) flaccid penile length; (B) stretched penile length; (C) penile width and scrotum.
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Genital and pubic hair development was graded as Tanner Stage 1 (Figure 3).
PMC7784113_02
Cranial MRI (A) T2 sagittal view; (B) T2 axial view; (C) T2 coronal view. The arrows point to fluid-filled sella.
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The patient has a delayed bone age (compatible to 16 and 5/12 to 14 and 5/12 year old male) by the Greulich-Pyle method (Figure 4).
X-ray of left hand comparing (A) patient's bone age, (B) normal 16-year-old male and (C) normal 18-year-old male.
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The patient's cranial MRI showed a shallow sella with apparent flattening of pituitary gland at its floor (Figure 5).