This pluging speaks out loud the title of the currently playing track using MS text-to-speech SAPI.
You'll need MS text-to-speech for this to work properly... check out the plugin configuration window for this, it points you to the link for downloading the app (only about 6.22 megs). Once installed, you can change the actual computer voice and voice speed in Windows control panel/speech. Next time you fire up Winamp, your computer will read off the title of the mp3 file before playing it.