Thank you for your query.
I can understand your dilemma because there is no corelation between the clinical and pathological diagnosis in the girl's case. I would suggest that the hormonal
work-up should be repeated as there can be some laboratory discrepancy which should be excluded.
The clinical notes should be followed-up to see the progress over the next 6-9 months. In this way it shall be documented if the physical signs are progressing or are just stationary.
I hope I have responded to your query to your satisfaction.