Puberty is a process leading to physical and sexual maturation. The diagnosis is made with the help of careful history and physical examination in conjunction with the use of appropriate radiological and hormonal evaluation. To evaluate the role of radiological imaging in determining the etiology a retrospective review of patients with peripheral precocious puberty were reviewed. Nineteen patients were diagnosed to have peripheral precocious puberty. Various form of congenital adrenal hyperplasia and hypothyroidsm were the commonest found in 8 and 5 patients respectively. Other etiologies included Adenocarcinoma in two, and Adrenal adenoma, Ovarian cyst, Granulosa Cell tumor, and McCune-Albright syndrome presented in one patient each. Various radiological studies are important in the assessment and identifying the etiologies of peripheral precocious puberty.
