Presentation
Breathlessness and cough, is there pneumonia present?
Patient Data
Lungs and pleural spaces clear. Heart is not enlarged.
Incidental note of symmetric gynaecomastia.
Case Discussion
The importance of a case like this is to appreciate how a male patient with gynaecomastia can really be indistinguishable from a young female patient with normal breasts. Most cases of gynaecomastia have a much more asymmetric or even completely unilateral appearance.
During a busy reading session it is easy to be careless and mistake such a chest radiograph for a female patient.
The term pseudogynaecomastia is occasionally used for male patients who appear to have breast enlargement in which it is primarily due to fatty tissue and not true glandular or stromal mammary tissue. This cannot be diagnosed on chest radiography, requiring mammography and/or ultrasound.
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