Ultrasound revealed a well-defined midline cystic lesion with thick walls, internal debris, and peripheral hypervascularity on Doppler, moving with tongue protrusion—classic for an infected thyroglossal duct cyst. This entity commonly mimics lymphadenitis or abscess, but timely imaging is crucial to prevent complications; acute management includes antibiotics ± drainage, followed by definitive Sistrunk procedure once infection settles. Radiology makes the diagnosis clear. — Dr Muzamil Imaging &
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