Gynecomastia is the benign enlargement of male breast glandular tissue and is the most common breast condition in males. At least 30% of males will be affected during their life. Since it causes anxiety, psychosocial discomfort and fear of breast cancer, early diagnostic evaluation is important and patients usually seek medical attention. Gynecomastia was reported to cause an imbalance between oestrogen and androgen action or an increased oestrogen to androgen ratio, due to increased oestrogen production, decreased androgen production or both. Evaluation of gynecomastia must include a detailed medical history, clinical examination, specific blood tests, imaging and tissue sampling. Individual treatment requirements can range from simple reassurance to medical treatment or even surgery. The main aim of any intervention is to relieve the symptoms and exclude other etiological factors. Preoperative imaging done with ultrasound breast tissue to assess the component of breast tissue which helps in planning the surgery. Magnetic resonance imaging is useful in the quantification amount of tissue and lesions before surgery in a three-dimensional way. In this case report we will assess the role of Magnetic resonance imaging in preoperative assessment of gynecomastia.

Keywords: Gynecomastia; Magnetic resonance imaging; Assessment.