Not all men have a pronounced adam's apple (it's just that women do NOT have them). Eyebrows can be shaved and then painted back on in a different location and female hormones can widen the hips ... especially if done earlier in life (not sure when the "transition" started).
Women can rarely have adam's apples, I think, Ann Coulter is a famous example, or the performer Lady Gaga.
At least OP didn't put that creature in a picture. Usually, at best, these sort of troons look like effeminate men with long hair and a dress, and if they are failing male athletes, they are burly characters who want to cheat their way to athletic success.