Realistic and controllable panoramic LiDAR data generation is critical for scalable 3D perception in autonomous driving and robotics. Existing methods either perform unconditional generation with poor controllability or adopt text-guided synthesis, which lacks fine-grained spatial control. Leveraging a monocular RGB image as a spatial control signal offers a scalable and low-cost alternative, which remains an open problem. However, it faces three core challenges: (i) semantic and depth cues from RGB are vary spatially, complicating reliable conditioning generation; (ii) modality gaps between RGB appearance and LiDAR geometry amplify alignment errors under noisy diffusion; and (iii) maintaining structural coherence between monocular RGB and panoramic LiDAR is challenging, particularly in non-overlap regions between images and LiDAR. To address these challenges, we propose Veila, a novel conditional diffusion framework that integrates: a Confidence-Aware Conditioning Mechanism (CACM) that strengthens RGB conditioning by adaptively balancing semantic and depth cues according to their local reliability; a Geometric Cross-Modal Alignment (GCMA) for robust RGB-LiDAR alignment under noisy diffusion; and a Panoramic Feature Coherence (PFC) for enforcing global structural consistency across monocular RGB and panoramic LiDAR. Additionally, we introduce two metrics, Cross-Modal Semantic Consistency and Cross-Modal Depth Consistency, to evaluate alignment quality across modalities. Experiments on nuScenes, SemanticKITTI, and our proposed KITTI-Weather benchmark demonstrate that Veila achieves state-of-the-art generation fidelity and cross-modal consistency, while enabling generative data augmentation that improves downstream LiDAR semantic segmentation.