Central Serous Retinopathy with a Subfoveal Yellow Deposit - Fluorescein Angiogram

This 33 year old man had a solid subfoveal yellow lesion more typical of unilateral acute idiopathic maculopathy than central serous retinopathy. However, on the fluorecein angiogram both eyes had small extrafoveal pigment epithelial detachments (purple arrows right eye, white arrows left eye) and the left eye had an extrafoveal inkblot retinal pigment epithelial leak (yellow arrows). The OCT (see as a separate image) does not show subretinal fluid, but rather a solid subfoveal lesion.