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Repeat FA demonstrated central hypofluorescence with surrounding hyperfluoresent staining rim prompting work-up for WNV, which was later confirmed by laboratory testing. The patient's visual acuity and clinical exam remained stable on subsequent follow-up visits. Our case highlights multimodal imaging findings in the acute phase of WNV chorioretinitis which may be crucial to early diagnosis and identification. Our case highlights multimodal imaging findings in the acute phase of WNV chorioretinitis which may be crucial to early diagnos