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Pretrained vision-language models (VLMs), such as CLIP, have shown promising zero-shot out-of-distribution (OOD) detection capabilities by leveraging semantic similarities between input images and textual labels. However, most existing approaches focus solely on expanding the label space in the text domain, ignoring complementary visual cues that can further enhance discriminative power. In this paper, we introduce DualCnst, a novel framework that integrates text-image dual consistency for improved zero-shot OOD detection. Specifically, we generate synthetic images from both ID and mined OOD textual labels using a text-to-image generative model, and jointly evaluate each test image based on (i) its semantic similarity to class labels and (ii) its visual similarity to the synthesized images. The resulting unified score function effectively combines multimodal information without requiring access to in-distribution images or additional training. We further provide theoretical analysis showing that incorporating multimodal negative labels reduces score variance and improves OOD separability. Extensive experiments across diverse OOD benchmarks demonstrate that DualCnst achieves state-of-the-art performance while remaining scalable, data-agnostic, and fully compatible with prior text-only VLM-based methods.