Patient presents with leg length discrepancy (LLD), also known as anisomelia, potentially contributing to gait abnormalities and functional limitations.  Clinical examination reveals a measurable difference in lower extremity length, confirmed by direct measurement from the anterior superior iliac spine (ASIS) to the medial malleolus.  Differential diagnosis includes anatomical leg length discrepancy (true LLD) versus functional leg length discrepancy (apparent LLD) due to pelvic obliquity, adduction or flexion deformity, or other postural issues.  Measurements were taken in supine and standing positions to differentiate between structural and functional components.  Assessment included evaluation for associated symptoms such as low back pain, hip pain, knee pain, and foot pain.  Gait analysis was performed to assess the impact of the LLD on ambulation.  Current treatment plan includes further investigation to determine the etiology of the leg length discrepancy, including radiographic imaging (X-ray, scanogram) to rule out underlying skeletal abnormalities such as congenital anomalies, growth plate injuries, or prior fractures.  Orthotic intervention with a shoe lift or heel lift may be considered for leg length inequality management if clinically indicated.  Referral to physical therapy for gait training and core strengthening exercises is being considered to improve postural alignment and functional mobility.  Patient education provided regarding leg length discrepancy causes, symptoms, treatment options, and prognosis.  Follow-up scheduled to monitor progress and adjust treatment as needed.