Rajkumar Adepu Roll no 08

 C/o swelling in the front of the neck since 1year, The patient was apparently asymptomatic one year ago, then later noticed a swelling in front of his neck which gradually progressed to attain current size. It is not associated with pain. Patient is complaining of discomfort.No H/o Trauma, fever  NO H/o swelling in the past No h/o other swelling in the body. No h/o hoarsness of voice  No h/o difficulty in deglutition H/o loss of weight since 1 year On Inspection:- A visible Swelling of 5x5 cm spherical in shape is seen on the front of neck left side to trachea. The stin over the swelling appears to be normal, no visible pulsations  No Scars, sinuses,engorged veins.  The skin around the swelling appear to be normal The swelling moves upwards on deglutition. The swelling does not move on protrusion of the tongue. Lower border of swelling is visible. On Palpation- These is no local rise of temperature over the swelling  All the Inspectory findings are confirmed on Palpation Non- tender,