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Photo courtesy of: Patrick Ma, M.D. Used with permission. Not to be reproduced.

A 35-year-old woman presents with decreased vision in the left eye (20/80) and is noted to have the above fundus findings. The right eye has normal vision and an unremarkable fundus exam. A fluoroscein angiogram  shows early hyperfluorescence and an ultrasound shows the presence of calcium within the area of question.

The most likely diagnosis is:

a. retinoblastoma b. choroidal hemangioma c. choroidal osteoma d.  melanocytoma

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