Presentation
Decreased right visual acuity.
Patient Data
Age: 60 years
Gender: Male
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Small echogenic intraocular mass of the temporal quadrant with internal vascularity on color Doppler.
From the case:
Choroidal melanoma
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Small right intraocular soft tissue mass at the junction of the upper-lower temporal quadrants, measuring 7 x 5 x 2 mm of moderately high signal on T1, low signal on T2 with vivid homogeneous enhancement on postcontrast sequences. No extension to the surface of the optic nerve head. No extraocular extension is seen.
Small vessel chronic ischemic changes are noted.
Case Discussion
MRI features are suggestive of choroidal melanoma which is considered the most common primary tumor of the adult eye.
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