If it's an old qsound.zip it probably has an incorrect bin file inside. I think some old zip versions might have qsound.bin inside and the crc is different so renaming won't work.
Same thing can happen with roms and stuff too, which is why you need MAME version and matching rom set.
You use the same rom set as the MAME version you have. So in your case 0.219 rom set I guess.
Honestly I don't mess around with MAME much and certainly not on PC, just older versions on hacked/modded game consoles.
Here's an old forums thread so the attached file might be out of date idk...
https://www.epforums.org/showthread....ain-cps2-games
