Enlargement of the left lacrimal gland with punctate calcified shadows is an imaging finding in the lacrimal gland area that indicates the presence of a lesion in the left lacrimal gland and the formation of a calcified reaction within it from tissue necrosis. Imaging is a common test used to identify non-superficial diseases, and an increase in the size of the left lacrimal gland is usually due to inflammation, tumors, and other causes. The presence of punctate calcified shadows visible within the lacrimal gland is usually suggestive of localized foci of calcification formed after tissue necrosis, with common causes such as tuberculosis of the lacrimal gland and mixed tumors of the lacrimal gland. Patients currently cannot accurately determine exactly which condition is causing the problem based only on the imaging results, and should promptly go to the ophthalmology department of the hospital, which usually needs to diagnose the specific cause of the lesion by removing the lacrimal gland and then conducting pathologic examinations.