What is your diagnosis? In few days I will post my presentation about surgery of thyroid gland :) but first, guess the disease :)
isn't it any carcinoma because of dialated veins are also present.. but any other symptom or investigation?
Any other symptoms?
Multinodular goitre?
From first look it seems like goitor but more symptoms reqired to confirm surely
Goitre
Acromegaly of the gland
Goiter followed by svc congestion
Possibly goiter