A 40-year-old lady presented with a swelling below the left eyebrow of 1 month duration. Examination revealed a firm, palpable mass in the region of the lacrimal gland (Figure 2A). Ocular evaluation was normal in both eyes. CT scan showed diffuse enlargement of the lacrimal gland with no bony remodelling or moulding around the globe (Figure 2B). The excised mass showed granulomatous inflammation with caseation necrosis on histopathology (Figure 2C). GMS, Ziehl-Neelson (ZN) staining and PCR for MTb were negative. Laboratory evaluation showed an ESR of 14 mm/h, normal chest radiography including 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 year, she is doing well with no recurrence of inflammation.