Patient Presentation: An 88-year-old female was referred to the ocular oncology service to “rule out neoplasm.” The patient symptomatically noted decreased vision in her right eye for 1 month. Her past ocular history included retinal detachment repair OD 15 years ago, primary open angle glaucoma controlled with topical agents, and dry age-related macular degeneration changes for the past 2 years. Vision was 20/50 OD and 20/25 OS with normal IOP and pupillary examination. Optos widefield fundus photos are shown below. Notably, a laser scar was appreciated in the far temporal periphery OD, along with a suspicious, well-demarcated, dark, circular lesion in the mid-far periphery at 10 o’clock.