case_images: PMC9733469_01
case_images: PMC9733469_02
case_images: bilateral gynecomastia
case_images: PAMJ-43-67-g001.jpg
case_images: PMC9733469_02_PAMJ-43-67-g001.jpg
case_images: F1
case_images: He had no galactorrhea, but bilateral gynecomastia was noted (Figure 1).
case_images: micropenis with bilateral descended prepubertal testes and sparse pubic hair
case_images: PAMJ-43-67-g002.jpg
case_images: PMC9733469_02_PAMJ-43-67-g002.jpg
case_images: F2
case_images: 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).
case_images: ultrasonography images showing (A) small prostate (arrow); (B and C) small testes with microcalcification within them (R: right, L: left) (arrow)
case_images: PAMJ-43-67-g003.jpg
case_images: PMC9733469_02_PAMJ-43-67-g003.jpg
case_images: F3
case_images: Abdominal ultrasonography revealed a normal bladder with small prostate (Figure 3).
case_images: 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)
case_images: PAMJ-43-67-g004.jpg
case_images: PMC9733469_02_PAMJ-43-67-g004.jpg
case_images: F4
case_images: Brain MRI findings of this patient revealed an absent olfactory bulb and narrowed olfactory sulcus, which is consistent with Kallmann syndrome (Figure 4).
case_images: karyotyping analysis shows a 46XY pattern
case_images: PAMJ-43-67-g005.jpg
case_images: PMC9733469_02_PAMJ-43-67-g005.jpg
case_images: F5
case_images: Karyotyping showed a 46XY pattern (Figure 5).