I think there is some abnormal fat or something in there, so you've got a minor case.
Have you tried getting in the best shape possible to see what you look like? I ask because I was a little out of shape like you, and I confirmed my gynecomastia by getting in great shape. I got in great shape and I still looked the same.
Oh, I am sure I have it. Ever since had a biopsy done of the first node I had when I was 17. I am currently in the process of getting into shape. It is helping by trimming some of the fat. I hadn't really done ANYTHING along the lines of sports for a loooong time, and my body seems to be responding quite positively to a 3 day a week regime of:
30 min swimming
10 min cardio warm up
1 1/2 hr weights / stretch / other
20 min cardio
and starting to watch my diet.
My entire reason for going on about this is a self-questioning one. I have had this since 15. It has slowly progressed, and I have some extra fat in the chest and the gland on the right side (which is unfortunately obscured by the shadow is much more obvious) I worked on a farm all of my youth, and in a warehouse for 5 years, when I flex and touch my chest, there is some fat, but it is very solid underneath, so definitely the fat needs to be burnt, which is going pretty well.
But I haven't really EVER had comments made about it. I had lived with this completely normally. I have been married for 7 years now, and my wife and I are pretty free spirited exhibitionist people (although I will not say more). But for the last, almost 2 years, I have now worked in an office had seen a change for the worse because I was really getting out of shape.
So I went to the doctor and he was seemingly very willing for me to fix it. And through all of this, NOT ONE PERSON ever cared, mentioned it or whatever.
But then I found this site, and started reading the cases of alot of the members.
And I started looking around the net, and I saw people at whom I was just astounded that they would dedicate that amount of money for a change that I could barely see what was wrong. I see people like them all the time at the pool or gym. So it got me wondering "should I be really concerned about this?" I mean I had a friend with a deformed arm that was overweight and he did great with the ladies, and didnt seem to have a care in the world. I keep trying to put things into perspective. This does bother me (moreso since I have been visiting this site paradoxically), it has always bothered me. But I also sometimes wonder that if I get this done, would I be letting the modern standards of what "normal" and "handsome" overtake my self-confidence?
My wife for instance, has one breast noticeably larger than the other. She says "well, I am made like that, if people cant handle it f... them"
So hence my nickname "inquestion", and my seemingly contradictory statements about wanting surgery
... it is a constant questioning if it is really worth me having surgery or not. I guess if I had $5000 right now to spend on it, I would. But I dont. I dont have anywhere near that amount of money. I guess I could finance it though.