Unfortunately, the patients earlier scans were unavailable. This patient opted for alternative Indian medicine 3 years ago when this diagnosis was first made. The present local extensive spread of the lesion with ipsilateral cervical lymphadenopathy as well as with bony invasion is a sign of progression of disease and non-responsiveness to 'alternative' medicine. Respiratory motion artefacts are seen in the MRI study due to the old age of the patient and relative discomfort of having this large lesion in the oral cavity.