### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear doctor,My daughter is 18 months old. She had a lump in her left breast. A local doctor advised us to have some lab work done for her to check for precocious puberty. I went two different labs for the same hormone testing and 2 x-rays (for skull and palm growth), but no doctor to interpret what they mean. I have included some information about my daughter, the lab results and my questions.1)My daughters info: Born date: 12/18/2009; weight at birth: 4kg; height at birth: 54cm; As of 05/17/2011: weight 13.4 kg; height: 83cm.2) Lab results for hormones:Lab 1: (FSH =1.07 IU/ml), (LH=0.1 IU/ml), (Estradial(E2)=4.3 pg/ml);Lab 2: (FSH=1.5 mIU/ml), (LH= 3) My questions:a) Are these ranges normal or abnormal for a 18 month old toddler to be qualified for precocious puberty?b) What other testing should be done for the lump in her breast?Also, I have 2 x-rays available. How can I show them to you? Im willing to pay to have your medical opinion on those x-rays.Thank you very much Doctor,Regards,-Tuvshee

### output:

Hi dear, I went in depth of your query and would advise with following stepsa-consult pediatric and GAEC doctor and have second check of your daughters breast lump- after that with their advice ask opinion from Surgeon and endocrinologistYour baby is chubby and needs more study before labeling her as precautious puberty.Don't worry please feel free to send your X-rays to me with your lab reports for study and detailed advice to you. Hope this would solve your query. Wellcome again for further query to Chat Doctor. Regards