Serpiginous-like choroiditis (SLC) is a choroidal inflammation of diverse causes, which clinically resembles serpiginous choroiditis.1 Intraocular tuberculosis commonly presents as SLC in countries where Mycobacterium tuberculosis is endemic. In this choroiditis, M tuberculosis is rarely demonstrated in ocular fluids by smear or culture.1,2 Although a biopsy of the affected tissue can yield a tuberculosis diagnosis, such an approach is discouraged because of potentially severe ocular complications. Thus, to our knowledge, histopathologic changes in SLC remain largely unknown. We report clinicopathologic features of SLC.