\(\left(y-3x\right)\left(3x+y\right)+18xy-9\left(x+y\right)^2\)
=\(\left(y-3x\right)\left(y+3x\right)+18xy-9\left(x+y\right)^2\)
\(=y^2-9x^2+18xy-9\left(x+y\right)^2\)
\(=y^2-9x^2+18xy-9\left(x^2+2xy+y^2\right)\)
\(=y^2-9x^2+18xy-9x^2-18xy-9y^2\)
\(=-8y^2\)