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Large heterogeneously enchancing mass with areas of ulceration, necrosis and haemorrhage. Mass is centered on maxillary sinus, it is causing destruction of right zygoma, maxilla with 2/3 of alveolar ridge and hard palate, invading nasal cavity, ethmoid and sphenoid bones. Mass extends to the middle cranial fossa through erosion of great sphenoid wing. Prominent lymphadenopathy.
VR soft tissue shows enlarged lymph nodes. Dense material in the tumor represents haemostatic sponge.