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The most common of all the breast diseases in men is gynecomastia (76%). The authors covered some aspects of clinical and x-ray diagnosis of gynecomastia, presented its roentgenological classification including the following three types: nodular, (28 patients), dendritic (88) and parenchymatous (16). Pseudogynecomastia, i.e. the gland enlargement in volume without consolidation of its structure, was described (10 patients). The authors emphasize the complexity of the differential diagnosis of the boundary forms of gynecomastia and the necessity of a multimodality study using mammography.