Choroidal nevus

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Pigmented tumor on the posterior wall of the left eye in direct examination.

Patient Data

Age: 80 years
Gender: Male

US Eye

ultrasound

Flat discoid like mass located in the superolateral aspect of the eye, no contact with the optic disc. It measures 5 mm length x 0.1 mm depth/thickness. No flow on color Doppler. 

Case Discussion

Pigmented lesion in ophthalmoscopic correlation supporting a nevus. On ultrasound, differentials are those of posterior wall masses, which include metastasis (tend to show flow on Doppler) and melanoma (choroidal excavation is a feature). 

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