What is ""piimakokteil"" in American English and how to say it?

Estonian

piimakokteil

piimakokteil-milkshake.svg
American English

milkshake

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Example sentences

American EnglishThe nachos were chips covered in melted cheese, guacamole and sour cream.

How ""piimakokteil"" is said across the globe.

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