(BMJ)—A 19-yo, otherwise healthy woman presented w/ poor vision, which she had had since childhood. Exam: bilateral fundi showed single sharply excavated oval lesions at the macula and prominent choroidal vessels w/ radiating pigmentary lines (“wagon-wheel scar”). Brain CT: normal. What is the dx?
Cytomegalovirus retinitis
Ampiginous choroiditis
Punctate inner choroidopathy
Vitreoretinal lymphoma
Congenital toxoplasmosis
You are correct. Chorioretinitis is the most common (80%) clinical finding of congenital toxoplasmosis. The macula is involved 46% of the time. Most cases of congenital toxoplasmosis are subclinical and are detected later in life by chance or during eval for poor vision.

BMJ 2016;354:i5028