A 56-year-old lady presented with swelling below the right eyebrow of 3 months duration. Examination revealed a diffuse, non-tender, firm mass in the lacrimal gland area (Figure 3A). CT scan showed diffuse enlargement of the lacrimal gland with no bony erosion or remodelling (Figure 3B). Excision biopsy showed granulomatous inflammation with caseation necrosis on histopathology (Figure 3C). GMS, ZN staining and PCR for MTb were negative. Laboratory evaluation showed an ESR of 20 mm/h, normal CT thorax and a positive Mantoux test. She was started on four-drug regimen of ATT (isoniazid, rifampicin, ethambutol and pyrazinamide). At the end of 1.5 years, she was doing well with no recurrence of mass.