A routine fundus photograph at diabetic screening

Clinical history

Laterality: Right
Urgency: Routine

A 48-year-old at annual diabetic eye screening, no visual symptoms, acuity 6/6 both eyes.

Examination: Normal acuity, no relative afferent pupillary defect, clear media.

Presentation typical of this diagnosis, written for teaching. The source dataset provides the image and its label only, with no accompanying clinical record.

The study opens when you begin.

Read the history first and decide what you expect to find. Committing to an expectation before you look is most of what separates interpreting from noticing.

Step 1 of 3 · Read the history

Study: Colour fundus photograph

Describe the abnormality and give the most likely diagnosis. You will locate the finding first; the answer options stay hidden until you have.