Spot the diagnosis 191-196

(191) A lady patient who was having a painless goitre has come for severe and sudden pain and swelling in the size of goitre.
(192) A lady patient have an abscess in the mid line of her neck . The abscess was incised by a surgeon about nine months back but there is still a fistuala has been formed .
(193) A lady of fifty has come with a stare and fullness of the neck .
(194) A lady patient of fifty five has come with a swelling on the lateral side of her goitre . Spot the diagnosis?
(195) A boy has come with a small swelling near the hyoid bone exactly on the midline . Spot the diagnosis ?
(196) A patient having a goitre for a long time in which pulsation of the carotid artery is not felt . Spot the diagnosis?


Answers.
(191) Haemorrhage in the goitre .
(192) Thyroglossal fistula.
(193) Exopthalmic goitre.
(194) Metastatic lymph node from a hidden carcinoma in the goitre.
(195) Thyroglossal cyst.
(196) Carcinoma thyroid.