The "golf ball" clusters pushing bark off are fungal fruiting bodies (conks/mushrooms) of an internal wood decay fungus. This indicates advanced internal rot—the fungus has been digesting structural wood for years.
These fungal structures are the reproductive stage—releasing millions of spores. The tree is being consumed from inside out.
Hire a certified arborist for removal. Do not delay. The 20-year-old willow has served its lifespan; corkscrew willows are relatively short-lived and decay-prone.
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