This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders of pituitary gland, Subject name: Medicine
This radiological appearance is seen with which medical disorder? 
Select and explain. 
A. Rickets, B. Thalassemia, C. Osteopetrosis, D. Acromegaly
D: Acromegaly
Answer: D: Acromegaly 
Explanation: The image shows X ray of hand showing SPADE LIKE PHALANX. This is seen in Acromegaly. Signs Visual field defects Broad nose Large tongue Goiter Prominent supraorbital Ridge Prognathism Interdental separation Galactorrhoea Hirsutism Thick greasy skin Carpal tunnel syndrome Spade like hands Large feet Tight rings Proximal myopathy Ahopathy Hea failure Hypeension Oedema Glycosuria