Choroidal hemangioma

Case contributed by Dr Ammar Haouimi

Presentation

Reduced visual acuity of the right eye.

Patient Data

Age: 60 years
Gender: Male
Ultrasound

There is an echogenic dome-shaped mass with broad choroidal base in the posterior temporal quadrant of the right eye with prominent intrisic vascularity on color Doppler

MRI

On MRI, this choroidal mass is of intermediate signal on T1WI, slightly low signal on T2WI with intense and homogeneous enhancement following IV contrast. No extraocular extension is seen.

No associated lesions of Sturge-Weber syndrome.

Case Discussion

This patient had an MRI exam and fluorocein angiography 6 years ago which were in favor of a choroidal hemangioma. Compared to the MRI done 6 years ago (not shown), this choroidal mass seems relatively stable favoring benign etiology.

Choroidal hemangioma is rare benign vascular hamartomatous tumor of the choroid with two forms:

On imaging, the main differential diagnosis is choroidal melanoma

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Case information

rID: 72469
Published: 2nd Dec 2019
Last edited: 3rd Dec 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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