PMC7218149_01
a: Ultra-wide-field fundus photography (Daytona Optos, Marlborough, MA, USA) of left eye showed a large slightly pigmented choroidal neoformation with an extensive secondary retinal detachment; b: green-light fundus autofluorescence imaging (Daytona Optos) revealed no orange pigment. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
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Dilated fundus examination of the left eye showed a voluminous slightly pigmented choroidal neoformation with an extensive secondary retinal detachment (Fig. 1).
a,b: B-scan ultrasonography revealed a hyperechogenic solid choroidal mass, measuring 18 mm in largest basal diameter and 13 mm in thickness, with exudative retinal detachment and initial choroidal excavation. c: A-scan ultrasonography showed a lesion with low-to-medium internal reflectivity.
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B-scan ultrasonography of left eye revealed a hyperechogenic solid choroidal mass, measuring 18 mm in largest basal diameter and 13 mm in thickness, with exudative retinal detachment and initial choroidal excavation (Fig. 2a and b); the lesion showed low-to-medium internal reflectivity on A-scan (Fig. 2c).
a: Chest radiography showed a large lung mass in the right lower lobe, with multiple foci of opacity disseminated in both lung fields. b: Contrast-enhanced brain computed tomography documented the presence of an expansive lesion in cerebellar hemisphere region with another smaller satellite lesion, which were compatible with brain metastases.
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Chest radiography showed a large lung mass in the right lower lobe and multiple foci of opacity disseminated in both lung fields (Fig. 3a). The patient experienced an onset of gait disturbance within one month of presentation and contrast-enhanced brain CT demonstrated an expansive lesion (largest diameter 3.5 cm) in the cerebellar hemisphere region with a smaller satellite lesion (largest diameter 1.2 cm) (Fig. 3b). The findings were compatible with brain metastases.