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26th April 2024
A 45-year-old man presents with bilateral enlargement of the breasts, which he first noticed six months ago.
A 45-year-old man presents with bilateral enlargement of the breasts, which he first noticed six months ago. He reports tenderness in both breasts but no nipple discharge or pain. He has a history of hypertension and has been on spironolactone for the past year. On examination, the breast tissue is firm and symmetrically enlarged, without any discrete palpable masses or lymphadenopathy. His liver is not palpable, and there are no signs of hyperthyroidism.
Which is the most likely diagnosis?
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