Answer to Medical Challenge

The answer my friend is blowing in the wind:

#4 Hypogonadism:
The twin on the right has evidence of central adiposity (fat), more scalp hair but loss of body hair and gynecomastia (fatty breasts) compared to the identical twin brother. These are classic signs of hypogonadism and the patient was diagnosed with a pituitary tumor.

Thanks for playing. Cushings was a good guess too, but the fat distribution would have been different and it would not affect hair growth.

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