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Can breast tissue gynecomastia always visible under ultrasound? Do I have gynecomastia? (photos)

giga1988
I have a mild case of gynecomastia, my nipples are puffy, and i can feel the lumps, i used to have a very low body fat and i could still feel and see it. I went to a surgeon, and he could feel the lumps,he aslo sent me to do an ultrasound, on the ultrasound the doctor looked for lumps not gyno, and he said i dont have lumps, but I am not insane, i can feel the lumps and the puffines, and when i wear tight shirts you can clearly see it, but i feel like ultrasound is the final call, is it? I am 25 years old 160 lbs,.

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