PMC6800899_01
Fundus photograph with a yellow arrow marking an old, atrophic choroidal scar and blue
lines delineating multiple white/off-yellow exudates around the macular and extending into
the peripheral retina. Pallor of the optic disc is notable as well as minor vitreous
haze.
CRIOPM2019-1475628.001.jpg
PMC6800899_01_CRIOPM2019-1475628.001.jpg
fig1
OD revealed 1+ vitreous cell/haze, several large chorioretinal lesions scattered throughout the periphery and involving the macula with 2+ optic disc pallor. OS was within normal limits (Figure 1).
Axial T1 with contrast (left) and axial T2 FLAIR (right) magnetic resonance imaging
(MRIs) demonstrating a peripherally enhancing 5 mm lesion in the left frontal lobe
surrounded by moderate confluent vasogenic edema, marked by red arrows.
CRIOPM2019-1475628.002.jpg
PMC6800899_01_CRIOPM2019-1475628.002.jpg
fig2
Cytomegalovirus. CT head showed a new area of enhancement in the left anterior frontal lobe (Figure 2).