Delayed bone age
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According to the Greulich and Pyle radiographic atlas of skeletal development of the hand and wrist, approximate bone age is 2 years with a standard deviation of +/- 4 months. (Patient's exact chronological age = 5 years).
The patient has constitutional delay and short stature, this plain radiograph was the first investigation done for assessment and revealed delayed bone age in relation to the chronological age.