Retionoblastoma with Fine Calcification

TM is a 2-year-old child who was noted by his parents to have a “wandering” left eye that worsened over several months. They consulted with an ophthalmologist who documented an esotropia of 30 prism diopters and found leukocoria on testing the right red reflex. She noted a whitish pink intraocular mass encroaching on the temporal macula on fundus examination. She suspected a retinoblastoma and obtained a CT scan for confirmation. No calcium was detected on the scan (Fig. 22) so she referred the child for echography.