Cheese Pizza Pie Appearance in CMV Retinitis

This is Fundus Photograph of left eye of 53 year male depicting an area of Retinal Necrosis with few Retinal Haemorrhages suggestive of CMV Retinitis. Areas of Perivascular Exudation also seen. On investigations, the patient was found to be HIV positive. He was started on Anti Retro Viral treatment after physician opinion.