Grotesque screaming face fused with twisted spiral tree bark

A grotesque, marcadre close-up of a blood-curdled face contorted in a deafening scream, its visage seamlessly merging with the twisted, gnarled texture of a spiral tree's bark, as if its skin had been replaced by the rough, wood-grained surface of ancient timber, the eyes transformed into two piercing spiral knots that seem to burn with an otherworldly intensity, all rendered in the eerie, Ukiyo-e woodblock print style that's reminiscent of Junji Ito's body horror masterpieces.