History of allergic conjunctivitis with chronic left upper lid swelling recalcitrant to topical therapy: exam showing an enlarged lacrimal gland. There is asymmetric diffuse enlargement of the left lacrimal gland, without evidence of discrete mass lesions. There also appears to be mild thickening of the left upper eyelid, along with conjunctival enhancement. The rest of the left orbital contents are unremarkable and the right orbit is unremarkable. There is mild mucosal thickening in the anterior right ethmoid sinuses. The imaged intracranial structures are grossly unremarkable.
Asymmetric diffuse enlargement of the left lacrimal gland, without evidence of discrete mass lesions, and mild thickening of the left upper eyelid with signs of conjunctivitis. The findings may be related to an allergic etiology, as clinically suggested, although a lymphoproliferative process is a consideration based on imaging.