A new patient attends your practice and elects to have an OCT examination as part of an extended eye examination as she lost central vision as in right eye to macular disease at the age of 52. The patient is 87 years old. Right visual acuity is counting fingers, left Snellen acuity is 6/9 and she is not complaining of visual problems. No distortion in the left eye observed with Amsler charts.
Identify four changes within the OCT image?