case_images: PMC9285108_01
case_images: A) Right-eye color fundus photo showed a hazy optic disc, minimal tortuosity of veins, exudative retinal detachment from 3 to 9 clock hours (yellow double-headed arrows), a small pocket of subretinal fluid superior to the optic disc (yellow arrow), and discrete yellowish choroidal lesions with ill-defined margins in the superior quadrant of fundus (blue ellipse). B) Left-eye color fundus showed normal optic disc and vasculature with discrete yellowish choroidal lesions along the superior arcade and superonasal to the optic disc (two blue ellipses), with a central black shadow artifact due to cataract. C) Right-eye fundus autofluorescence showed a mottled hyper- and hypo-autofluorescent pattern in the superior quadrant. D) Left-eye fundus autofluorescence was normal with cataract shadow artifact at the center.
case_images: OC-12-13-g-001.jpg
case_images: PMC9285108_01_OC-12-13-g-001.jpg
case_images: F1
case_images: Right-eye fundus showed discrete yellowish choroidal lesions with ill-defined elevated margins in the superior quadrant of fundus with overlying retinal pigment epithelium changes (Figure 1A (Fig. 1)). Left-eye fundus showed normal optic disc and vasculature with a shallow elevated yellowish choroidal lesion along the superior arcade and superonasal to the optic disc with no SRF clinically (Figure 1B (Fig. 1)). Right-eye fundus autofluorescence showed mottled hyper and hypo autofluorescent pattern in the superior quadrant (Figure 1C (Fig. 1)). Left-eye fundus autofluorescence was within normal limits with artifact from sub-capsular cataract (Figure 1D (Fig. 1)).
case_images: A) Right-eye ultrasound B-scan in the axial scan showed an elevated mass lesion in the choroid with moderate to high internal echogenicity (yellow arrow). B-D) The transverse and dynamic ultrasound B-scans also showed presence of exudative retinal detachment in the inferior and nasal scans (yellow asterisk in 2C and 2D) with elevated moderate to high echogenic choroidal lesions in the superior and nasal scans (yellow arrow in 2B and 2D).
case_images: OC-12-13-g-002.jpg
case_images: PMC9285108_01_OC-12-13-g-002.jpg
case_images: F2
case_images: The transverse and dynamic ultrasound B-scans also showed the presence of an exudative retinal detachment in the inferior scans with elevated choroidal lesions in the superior scans (Figure 2 (Fig. 2)). 
case_images: A) Right-eye OCT line scan passing through the temporal aspect of the fundus showed altered retinal contour, and a subretinal hyporeflective space with few high reflective lesions subretinally. It also showed lumpy-bumpy appearance of the retinal pigment epithelium and an elevated choroidal mass lesion beneath it. B) The left showed a normal foveal OCT scan.
case_images: OC-12-13-g-003.jpg
case_images: PMC9285108_01_OC-12-13-g-003.jpg
case_images: F3
case_images: It also showed a lumpy-bumpy appearance of the retinal pigment epithelium and an elevated choroidal mass lesion beneath it (Figure 3A (Fig. 3)). The left showed a normal foveal OCT scan (Figure 3B (Fig. 3)).