Fig. 3

a–d Coronal T1+ Gadolinium MRI demonstrating 3.2 × 3.8 × 4.8 cm heterogeneous mass and progressive direct bone invasion extending to the junction of the left temporal bone and zygomatic arch. There is involvement of the deep left parotid gland at the level of the facial nerve with evidence of perineural extension along the V3 nerve to the foramen ovale. Figure 1b through 1d demonstrate dramatic improvement in the patient’s tumor burden