We report on a patient who presented with swelling to the left side of the face accompanied by exophthalmos. Imaging studies revealed a large expansive heterogeneous mass encroaching on the sinonasal region. Following intravenous contrast administration revealed a lesion with moderate enhancement and involvement of the ipsilateral orbital cavity with intracranial invasion. The patient underwent tumor resection and a biopsy confirmed the presence of a mesenchymal chondrosarcoma. Additional treatment included radiation therapy and the patient is currently receiving palliative and supportive care for advanced metastatic lung disease.
