Mixed gonadal dysgenesis.
This infant with an XY karyotype had a small penis, hypospadias, and a labioscrotal fold at the base of the penis.
A. Sonography confirms the presence of a left testis (T) in the upper aspect of the scrotum. The penis (P) is medial to the testis on this transverse image. There was no identifiable right gonad. B. Examination of the pelvis demonstrates a uterus (arrows) superior to a fluid-filled vagina (V). Laparoscopic exploration demonstrated a right streak gonad.