Fig. 24. A. Nonbacterial dacryoadenitis may be unilateral or bilateral. External inflammatory signs are maximal in the superotemporal quadrant. B. The left lacrimal gland is enlarged, with a shape molded by the globe and orbital walls. A neoplasm usually can be ruled out by analysis of the history, CT findings, and echographic characteristics, but a biopsy may be required in equivocal cases.