Solitary idiopathic choroiditis (SIC) is often confused with intraocular masses and inflammatory conditions and has only recently been identified as a distinct clinical condition. Jerry Shields, M.D., was the first to put a name on this condition. The clinical findings and features that distinguish it from other conditions are discussed in this report. A comprehensive examination with supplemental testing such as fluoresceine angiography, B scan, and extensive laboratory workup is necessary to rule out the differentials of SIC. These differentials include inflammatory conditions and retinal and choroidal tumors. SIC has both an active and an inactive phase. The treatment for the condition is controversial. Our patient presented with a suspicious intraocular mass that was diagnosed as SIC after an extensive ocular examination and laboratory workup was completed.