(A, B) Clinical photographs showing bilateral lacrimal gland masses with yellow discoloration, parotid/submandibular salivary gland enlargement, and cervical lymphadenopathy. (C) Coronal computed tomography scan showing bilateral lacrimal gland enlargement. (D) Histopathology of mastectomy specimen showing foamy histiocytes, Touton giant cells (arrows), lymphocytes with follicular centres, and necrobiosis (haematoxylin and eosin stain, original magnification 10×). (E) Clinical photograph 24 months after diagnosis, showing improvement. (F) Coronal computed tomography scan showing resolution of lacrimal gland masses. Photograph reproduced with permission.