Gynecomastia

Patient: Sir im 19 years old.I weight 85kg 5ft 10in ,i think i may be sufferin from gynecomastia.I regularly hit gym and have a good muscle development in upper chest.so i want to know is it a normal fat(fingers crossed)or gynecomastia.

Symptoms: protruding puff nipples in tshirt.

Images:
Gynecomastia-1

Doctor: