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Gynecomastia

Case contributed by Ayush Goel
Diagnosis almost certain

Presentation

Tender lump in right breast. On examination - soft and mobile.

Patient Data

Age: 33 yrs
Gender: Male
mammography

Retroareolar density with lobulated and spiculated margins.

Note : the tiny white spots are artifacts and not calcifications.

ultrasound

Hypoechoic mass with lobulated and spiculated margins noted in the retroareolar region.

Case Discussion

Imaging features are consistent with gynecomastia.

Note : Similar imaging appearance in a female would give high suspicion of malignant mass (BIRADS 4/5)

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