24-year-old female with lacrimal gland pain and enlargement. Evaluate for lacrimal gland enlargement/inflammation The lacrimal glands are symmetrically enlarged and uniformly enhancing. No discrete masses are seen. The pituitary gland is slightly prominent but still within normal limits for age. The globes are intact. No intraconal or extraconal space mass is identified. The extraocular muscles are intact. There is no optic nerve enhancement appreciated. The suprasellar cistern is intact.
Bilateral symmetric enlargement of the lacrimal glands without focal lesions. Findings may represent an underlying autoimmune or collagen vascular disease process.