Anatomy - Thorax & Breast Flashcards

(121 cards)

1
Q

What is the arrow pointing to?

A

Aberrant right subclavian artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the arrow pointing to?

A

Aberrant right subclavian artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the arrow pointing to?

A

Common origin of the brachiocephalic trunk & left common carotid artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the arrow pointing to?

A

Aberrant left pulmonary artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the arrow pointing to?

A

Aberrant left pulmonary artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the arrow pointing to?

A

Duplication of the SVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the arrow pointing to?

A

Homozygous continuation of the IVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the arrow pointing to?

A

Azygous fissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the arrow pointing to?

A

Azygous fissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the arrow pointing to?

A

Azygous fissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the arrow pointing to?

A

Left horizontal fissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the arrow pointing to?

A

Right sided aortic arch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the arrow pointing to?

A

Dextrocardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the arrow pointing to?

A

Pectus excavatum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the arrow pointing to?

A

Pectus excavatum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the arrow pointing to?

A

Pectus excavatum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the blood supply to the breast?

A
  • Branches of the internal mammary artery - 60%, medial and central
  • Lateral thoracic branch of axillary artery supplies 30% - UOQ
  • Perforating branches of anterior intercostal arteries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the venous drainage of the breast?

A

Drains to axillary and subclavian veins and azygous system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the lymphatic drainage of the breast?

A

Subareaolar plexus - beneath the nipple
Deep plexus drains to the axillary and internal mammary chains
Axillary lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the levels of the axillary lymph nodes?

A

Level I - Lateral to the lateral border of pectoralis minor
Level II - Behind pectoralis minor
Level III - Medial to the medial border of pectoralis minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Identify the following structures in the breast?

A

Pectoralis major muscle
Subcutaneous fat
Lactiferous ducts
Areola
Nipple
Superficial fascia
Skin
Coopers ligaments
Glandular tissue and fat: stroma
Deep fascia
Fascia of pectoralis
7th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Name the following structures?

A

Left:
Substernal cross drainage to contralateral internal mammary lymphatic chain
Internal mammary artery and vein
Internal mammary lymph nodes
Perforating branches from internal mammary artery & vein
Pectoralis major muscle
Lateral branches of 3rd, 4th, 5th intercostal arteries and veins

Right:
Apical lymph nodes
Pectoralis minor muscle
Median nerve
Axillary lymph nodes
Axillary artery and vein
Lateral thoracic vessels
Mammary lymph nodes
External mammary branch from lateral thoracic artery and vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Name the following structures?

A

Left:
Acini

Right
Lobular duct
Terminal ductal lobular unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Name the following structures?

A

A - MLO view
B - CC view

  1. Pectoralis muscle
  2. Retroglandular fat
  3. Glandular breast tissue
  4. Nipple
  5. Coopers ligaments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Describe the following mammogram
MLO view of an extremely dense breast There is almost no fat in this breast and all of the density is made up of stromal and some glandular elements A calcified artery is noted bilaterally
26
Describe the following mammogram
MLO view of a breast with prominent fibroglandular and stromal elements There is a moderate amount of fat The entire breast has the same pattern with no concentrated glandular area or retroglandular fat
27
Describe the following mammogram
MLO view of predominately fatty breast Most of the density in this breast is due to blood vessels and fibrous septae There is a small amount of glandular tissue
28
Identify the following structures on the ultrasound of the breast
1. Pectoralis muscle 2. Subcutaneous fat 3. Coopers ligament 4. Glandular tissue
29
Name the following structures on the MRI of the breast? What weighting is this?
T1 weighted, fat saturated, gadolinium enhanced. (Fat is dark, muscles are bright, enhancing breast tissue is bright) 1. Coopers ligaments 2. Skin 3. Subcutaneous fat 4. Enhancing fibroglandular breast tissue 5. Retroglandular fat 6. Sternum 7. Enhancing vessels 8. Pectoralis major muscle 9. Lung
30
Name the following structures on the MRI of the breast? What weighting is this?
T2 weighted image - Fat is bright, fibroglandular tissue is dark 1. Coopers ligament 2. Fibroglandular tissue 3. Fat 4. Pectoralis major muscle 5. Costal cartilage 6. Sternum 7. Heart
31
Name the following structures?
Left: Neck Nonarticular part of tubercle Angle Subcostal groove Right: Head with articular facets Articular tubercle For costal cartilage
32
Name the following structures?
Tubercle Head (Single facet) Groove for brachial plexus Scalene tubercle Groove for subclavian vein
33
Name the following structures?
T1 vertebrae Brachial plexus Subclavian artery Scalenus anterior muscle Subclavian vein Clavicle Sternum
34
What are the layers of the intercostal space?
Outer - Inner: External intercostal muscle Internal intercostal muscles Neurovascular bundle Innermost intercostal muscles Subcostal muscles (Lower ribs only)
35
What is the arterial supply of the intercostal spaces?
Posterior - 1 + 2nd ICS: Superior intercostal arteries from costocervical branch of subclavian artery - 3-12 ICS: Thoracic aorta Anterior - 1-6 ICS: Internal thoracic branch of the subclavian artery - 7-10 ICS: Musculophrenic artery continuation of internal thoracic artery - 11-12 ICS: No anterior intercostal artery
36
What is the venous drainage of the intercostal spaces?
Posterior: 1st intercostal vein drains into the brachiocephalic vein 2-4th ICS intercostal vein drains into the azygous vein on right and brachiocephalic vein on left 5-11th on right drain to azygous vein 5-8th on left drain to accessory hemiazygous vein 9-11th on left drain to hemiazygous vein Anterior 1-10th ICS into internal thoracic vein 11-12th ICS into musculophrenic vein
37
What are the consituent parts of the sternum? What level is each?
Manubrium - T3/4 Sternal angle T4/5 Body T5-9 Ziphoid process
38
What is the arrow pointing to? What arrow heads pointing to?
Arrow - Scalene tubercle on 1st rib Arrowheads - Subcostal groove below 2nd left rib
39
What is the arrow pointing to?
Prominence on upper surface of 2nd rib due to insertion of part of scalenus anterior muscle
40
What are the arrows pointing to?
Cervical rib on left side
41
What are the origins of the diapgragm?
Vertebral part - from crura and arcuate ligaments (R + L) - Right crus --> L1-L3 - Left crus --> L1 & L2 - Median arcuate ligament - Fascia over Psoas muscle from L2 to L1 - Lateral arcuate ligament - Fascia over quadratus lumborum from L1 to 12th rib Costal part - diapraghm arises in slips from lower 6 costal cartilages Sternal part - posterior surface of the xiphisternum Central tendon - Fused with pericardium & extends to paravertebral gutters
42
What are the openings of the diaphragm?
Aortic T12 - Aorta - Thoracic duct - Azygous vein Oesophageal T10 - Oesophagus - Vagal trunks - Left gastric artery - Left gastric vein - Lymphatics Vena caval T8 - IVC - Right phrenic nerve Behind medial arcuate ligament - Sympathetic trunk Behind lateral arcuate ligament - Subcostal nerves & vessels Between sternal & costal origins - Superior epigastric vessels
43
Which structures pierce the diaphragm?
Terminal branches of left phrenic nerve pierce the central tendon Greater, lesser, and least splanchnic nerves pierce each crus
44
What image is this? Identify the following structures?
Diagram of diaphragmatic openings (From below) Left: Xiphoid Superior epigastric artery IVC Oesophagus Aorta with median arcuate ligament Muscle fibers Crura Psoas major muscle Lateral arcuate ligament Quadratus lumborum muscle Right: Medial arcuate ligament
45
What image is this? Identify the following structures?
Diaphragmatic crura and arcuate ligaments Lateral arcuate ligament Median arcuate ligament Quadratus lumborum muscle Medial arcuate ligament Left crus of diaphragm Right Crus Psoas major muscle
46
What image is this? Identify the following structures?
Diaphragm on axial MRI 1. Right crus of diaphragm 2. Left crus of diaphragm 3. IVC 4. Aorta 5. Vertebral body 6. Spinal cord 7. Pedicle 8. Lamina 9. Psoas muscle
47
What image is this? Identify the following structures?
Diaphragm on coronal MRI 1. Right crus of diaphrgam 2. Left crus of diaphragm 5. Vertebral body 9. Psoas muscle
48
What is the blood supply to the diaphrgam?
Abdominal surface - Inferior phrenic arteries from abdominal aorta Costal margins - Intercostal arteries
49
What is the nerve supply to the diaphragm?
Right & Left phrenic nerves from C3-5 (Motor) Phrenic nerves for central diaphragm (Sensory) Intercostal nerves for peripheral diaphragm (Sensory)
50
What image is this? Identify the following structures?
PA Chest radiograph 1. Posterior junctional line 2. Anterior junctional line 3. Azygooedophageal line 4. Lateral wall of descending aorta 5. Aortic knuckle 6. Aortopulmonary window 7. Pulmonary trunk/Left pulmonary artery 8. Left superior pulmonary vein 9. Left inferior pulmonary artery 10. Left hilar point 11. Right superior pulmonary vein 12. Interlobar artery 13. Right hilar point 14. Trachea 15. Right main bronchus 16. Left main bronchus 17. Azygous vein & position of azygous node 18. Position of left atrial appendage 19. Left ventricle 20. Right atrium 21. Inferior aspect of brachiocephalic vein 22. Medial end of right clavicle 23. Right lateral aspect of manubrium sterni 24. Spinous process of T1 25. Superior surface of clavicle 26. Companion shadow of clavicle 27. Medial aspect of right scapula 28. Coracoid process of right scapula 29. Dome of right hemidiaphragm 30. Dome of left hemidiaphragm 31. Stomach bubble 32. Gas in splenic flexure of colon
51
What image is this? Identify the following structures?
Lateral chest radiograph 1. Anterior wall of trachea 2. Posterior tracheal stripe 3. Scapulae 4. Left lower lobe bronchus 5. Right lower lobe bronchus 6. Aorta 7. Vertebral body of T4 8. Anterior aspect of right ventricle 9. Pulmonary outflow tract 10. Main pulmonary artery 11. Right pulmonary artery 12. Left pulmonary artery 13. Left atrium 14. Left ventricle 15. IVC 16. Horizontal fissure 17. Oblique fissure 18. Sternum 19. Manubriosternal joint 20. Left hemidiaphragm 21. Right hemidiaphragm 22. Stomach bubble 23. Lung projected anterior to sternum in ICS 24. Retrosternal airspace
52
What is the blood supply of the pleura?
Parietal pleura: Systemic vessels Visceral pleura Bronchial and pulmonary circulation
53
What image is this? Identify the following structures?
PA chest radiograph 1. Posterior junctional line (Arrows) 2. Azygo-oesophageal line
54
Where does the trachea begin? Where does it extend to?
Lower border of cricoid cartilage at level of C6 Extends to the carina at the level of the sternal angle T5
55
Identify the following structures?
Left: Brachiocephalic artery SVC Right pulmonary artery Right main bronchus Right: Left common carotid artery Thyroid isthmus Left subclavian artery Left brachiocephalic vein Aortic arch Left pulmonary artery Left main bronchus Pulmonary trunk
56
What is the blood supply of the trachea?
Upper trachea: Inferior thyroid artery Lower trachea: Branches of bronchial artery Venous drainage Inferior thyroid venous plexus
57
What is the significance of a carinal angle >65 degs?
Marker of enlargement of the left atrium - which can be due to mitral valve dysfunction - stenosis/incompetence
58
What are the bronchial divisions of the right main bronchus?
Right Upper lobe bronchus: - Apical - Posterior - Anterior bronchi Bronchus intermedius into Right middle & lower lobe bronchus Right middle lobe bronchus - Lateral - Medial Right lower lobe bronchus - Apical - Anterior - Lateral - Posterior - Medial
59
Label the following (Right)
Anterior view Right Upper lobe bronchus: - Apical - Posterior - Anterior bronchi Bronchus intermedius into Right middle & lower lobe bronchus Right middle lobe bronchus - Lateral - Medial Right lower lobe bronchus - Apical - Anterior - Lateral - Posterior - Medial
60
What are the bronchial divisions of the left main bronchus?
Left upper lobe bronchus: - Apicoposterior - Anterior - Superior lingular - Inferior lingular Left lower lobe bronchus: - Apical - Medial - Lateral - Anterior
61
Label the following (Left)
Anterior view Left upper lobe bronchus: - Apicoposterior basal bronchus - Anterior - Superior lingular - Inferior lingular Left lower lobe bronchus: - Apical - Medial - Lateral - Anterior
62
Label the following right lateral view of the bronchi
Right Upper lobe bronchus: - Apical - Posterior - Anterior bronchi Right middle lobe bronchus - Lateral - Medial Right lower lobe bronchus - Apical - Anterior - Lateral - Posterior - Medial
63
Label the following left lateral view of the bronchi
Left upper lobe bronchus: - Apicoposterior - Anterior - Superior lingular - Inferior lingular Left lower lobe bronchus: - Apical - Medial - Lateral - Anterior
64
Label the following left oblique view of the bronchi
Left upper lobe bronchus: - Apicoposterior - Anterior - Superior lingular - Inferior lingular Left lower lobe bronchus: - Apical - Medial - Lateral - Anterior
65
Label the following bronchopulmonary segments - Upper lobes
Right: Apical Posterior Anterior Left Apicoposterior Anterior Superior lingular Inferior lingular
66
Label the following bronchopulmonary segments - Middle lobe
Right: Lateral Medial
67
Label the following bronchopulmonary segments - Lower lobes
Right: Apical Anterior Lateral & Posterior Medial Left: Apical Anterior Lateral Posterior
68
What is the blood supply of the lobes (Gross anatomy)?
Bronchial arteries - branches of thoracic aorta Bronchial veins drain into the azygous system (Right) and Hemiazygous system (Left)
69
What fissures are found in: - Right lobe - Left lobe - Accessory fissures
Right lobe: Oblique fissure Horizontal fissure Left lobe - Oblique fissure Accessory fissures: - Azygous fissure - Superior accessory fissure (Right) - Inferior accessory fissure (Right)
70
What do the following images show? Identify the following structures?
A - PA Chest radiograph B - CT Thorax 1. Azygous fissure 2. Azygous vein 3. Azygous lobe
71
Identify the following structures?
Right: Right & Left main bronchi Right pulmonary artery Pulmonary trunk Left: Trachea Left pulmonary artery
72
What are the constituent parts of a bronchopulmonary segment?
Segmental bronchus (Determines the name of the segment) Segmental artery Segmental vein
73
What do the following images show? Identify the following structures?
DSA of the pulmonary veins draining into left atrium 1. Right upper pulmonary vein 2. Left upper pulmonary vein 3. Catheter 4. Right inferior pulmonary vein 5. Left inferior pulmonary vein 6. Left atrium
74
What is the pathway of the pulmonary & bronchial arteries?
Right: - Right pulmonary artery - Bifurcates - Interlobar artery (Right middle & Right lower) - Segmental arteries Left: - Left pulmonary artery
75
What is the lymphatic drainage of the lungs?
Pulmonary nodes (Within parenchyma) Bronchopulmonary nodes at hilum Carinal nodes below the hilum Tracheobronchial nodes above tracheobronchial junction Right and Left paratracheal nodes (either side of trachea)
76
Identify the followin structures?
Right: Azygous vein Carinal nodes Left: Paratracheal nodes Tracheobronchial nodes Aortic arch Bronchopulmonary nodes
77
Identify the structures of the right lung root?
Right: Pulmonary arteries - Apical & Interlobar Left: Right upper lobe bronchus Bronchus intermedius Pulmonary veins Pulmonary ligament
78
Identify the structures of the left lung root?
Right: Left main bronchus Left: Left pulmonary artery Left pulmonary veins Pulmonary ligament
79
Label the following diagram of the mediastinum?
Superior mediastinum (Above line from lower border of T4 to sternal angle) Sternum Anterior mediastinum (Anterior heart & sternum) Middle mediastinum (Heart & vessels) Posterior mediastinum (Posterior heart & T spine)
80
What are the contents of the superior mediastinum?
Aortic arch & branches Brachiocephalic veins and SVC Trachea Oesophagus Thoracic duct Lymph nodes Nerves
81
What are the contents of the anterior mediastinum?
Thymus Mammary vessels Lymph nodes
82
What are the contents of the posterior mediastinum?
Descending aorta Oesophagus Azygous venous system Thoracic duct Para-aortic, oesophageal and paraspinal nodes
83
What are the contents of the middle mediastinum?
Heart & Pericardium Nerves Lymph nodes Great vessels
84
Identify the following structures?
Right: - SVC - Aortic arch - Right auricle - Right atrium - IVC Left: Left pulmonary artery Left auricle Interventricular septum Left ventricle Right ventricle
85
What forms these borders of the heart?
Base - Left atrium Right border - Right atrium Apex & Left border - Left ventricle Anterior - Right ventricle Inferior - L & R ventricle + small part of RA
86
What is the following image? Identify the following structures?
CT scan of the pericardium 1. Pericardium 2. Right ventricle 3. Left ventricle 4. Interventricular septum 5. Aorta 6. Oesophagus
87
What is the following image? Identify the following structures?
CT scan of the pericardium 1. Aorta 2. Superior aortic recess of the transverse sinus 3. Superior vena cava 4. Right pulmonary artery 5. Aorta 6. Oblique sinus
88
What is the following image? Identify the following structures?
MRI scan of the pericardium showing the pericardial recesses 1. Aorta 2. Superior aortic recess of the transverse sinus 3. Superior vena cava 4. Right pulmonary artery
89
What is the following image? Identify the following structures?
CT Thorax - axial section through the heart 1. Right ventricle 2. Left ventricle 3. Interventricular septum 4. Pericardium 5. Atrioventricular groove 6. Mitral valve 7. Papillary muscle 8. Right atrium 9. Left atrium 10. Right pulmonary vein 11. Oesophagus 12. Descending aorta 13. Azygous vein 14. SVC
90
What is the following image? Identify the following structures?
Oblique sagittal MRI through the long axis of the heart 1. Right ventricle 2. Left ventricle 3. Interventricular septum 4. Pericardium 5. Atrioventricular groove 6. Mitral valve 7. Papillary muscle 8. Right atrium 9. Left atrium 10. Right pulmonary vein 11. Oesophagus 12. Descending aorta 13. Azygous vein 14. SVC
91
What are the branches of the right coronary artery?
Conus artery to pulmonary outflow tract Atrial & ventriclular branches Branch to SAN Acute marginal branches Branch to AVN Posterior IV artery
92
What is the following image? Identify the following structures?
Right coronary angio - Left anterior oblique projection 1. Sinus artery 2. Right coronary artery 3. Conus branch 4. Right ventricular branch 5. Posterolateral branch 6. Posterior descending artery
93
What is the following image? Identify the following structures?
Right coronary angio - Right anterior oblique projection 1. Right coronary artery 2. Right ventricular branch 3. Conus branch 4. Posterolateral branch 5. Posterior descending artery
94
What are the branches of the left coronary artery:
Branches of anterior descending artery - Septal branches - Diagonal branches over anterolateral L ventricle - Branch to right ventricle (Variant) Branches of left circumflex artery - Obtuse marginal branches - Atrial branches
95
What is the following image? Identify the following structures?
Left coronary angiogram - Right anterior oblique projection 1. Left main coronary artery 2. Left anterior descending artery 3. Septal branch 4. First diagonal branch 5. Second diagonal branch 6. Continuation of LAD 7. Circumflex artery 8. 1st obtuse marginal branch 9. 2nd obtuse marginal branch
96
What is the following image? Identify the following structures?
Left coronary angiogram - Left lateral projection 1. Left main coronary artery seen end on 2. Circumflex artery 3. Obtuse marginals 4. Posterolateral branch 5. Left anterior desceding artery (LAD) 6. Septal branch 7. 1st diagonal branch 8. 2nd diagonal branch 9. Continuation of LAD
97
Identify the following structures?
Right: SVC Right atrial appendage Right coronary artery Posterior descending artery Marginal branch IVC Left: Left coronary artery Left circumflex artery Marginal branch artery Diagonal artery Anterior descending artery
98
Identify the following structures?
Right: SVC Coronary sinus Anterior cardiac veins Small cardiac veins IVC Left: Left posterior ventricular vein Great cardiac vein Middle cardiac vein
99
What vessels supply the following parts of the heart? Right ventricle & inferior part of the left ventricle Rest of left ventricle IV septum Atria
Right ventricle & inferior part of the left ventricle - RCA Rest of left ventricle - LCA IV septum - LCA (Anteriorly) - RCA (Posteriorly) Atria - Variable supply
100
What are the veins that drain the heart?
Great cardiac vein Middle cardiac vein Small cardiac vein Left posterior ventricular vein Anterior cardiac veins Coronary sinus (Into the right atrium)
101
What is the following image? Identify the structures?
CT Coronary angiogram 1. Left anterior descending coronary artery 2. Diagonal coronary artery 3. Circumflex coronary artery 4. Origin of right coronary artery
102
What is the following image? Identify the structures?
CT Coronary angiogram 1. Origin of left main stem coronary artery 2. Origin of circumflex coronary artery 3. Left anterior descending coronary artery
103
What are the branches of the ascending aorta?
R + L coronary arteries (coronary sinus) Brachiocephalic artery Left common carotid artery Left subclavian artery
104
What is the following image? Identify the structures?
Coronary MR Angiogram A - 1. Proximal left anterior descending coronary artery B 1. Right coronary artery 2. Posterior descending coronary artery
105
What is the following image? Identify the structures?
Aortogram - DSA 1. Brachiocephalic artery 2. Left common carotid 3. Left subclavian artery 4. Ascending aorta 5. Descending aorta 6. Angiography catheter 7. Anterior cusp of aortic valve 8. Left posterior cusp of aortic valve 9. Left coronary artery 10. Left atrium 11. Left pulmonary artery
106
What is the following image? Identify the structures?
MR Angiogram 1. Brachiocephalic artery 2. Left common carotid 3. Left subclavian artery 4. Ascending aorta 5. Descending aorta 10. Left atrium 11. Left pulmonary artery
107
Where do the right and left subclavian arteries arise from?
Left subclavian - Arch of the aorta Right subclavian - Bifurcation of brachiocephalic trunk
108
What joins to form the brachiocephalic vein?
Union of the internal jugular and subclavian veins
109
What are the tributaries of the brachiocephalic veins?
Internal thoracic/mammary veins Inferior thyroid veins Left superior intercostal vein
110
What makes up the azygous system?
Azygous vein (Right) Hemiazygous vein (Left) Accessory Hemi-azygous vein
111
What is the following image? Identify the structures?
Coronal MRI of thymus, A - T1 weighted. B - T2 weighted. 1. Left lobe of thymus 2. Right lobe of thymus 3. Left ventricle 4. Ascending aorta 5. Brachiocephalic vein 6. Right subclavian vein 7. Left subclavian vein
112
What is the following image? Identify the structures?
Azygous system Right: Right brachiocephalic vein Right superior intercostal vein SVC Azygous vein IVC Left: Left brachiocephalic vein Supereme intercostal vein Left superior intercostal vein Accessory hemiazygous vein Hemiazygous vein Left renal vein Ascending lumbar vein
113
What are the main nerves of the mediastinum?
Vagus nerves Recurrent laryngeal nerves - branch of vagus Phrenic nerve Sympathetic trunk
114
What is the following image? Identify the structures?
Axial CT Thorax with contrast to show veins 1. Arch of azygous vein 2. Accessory hemiazygous vein 3. Azygous vein 4. Hemiazygous vein Arrowheads - azygous system
115
What is the following image? Identify the structures?
CT Thorax axial view at T4 level 1. Anterior junction line 2. Air filled trachea 3. Oesophagus 4. Right paratracheal stripe 5. Azygo-oesophageal stripe 6. SVC 7. Aortic arch 8. Right paraspinal line 9. Left paraspinal line 10. Azygous vein
116
What is the following image? Identify the structures?
CT Thorax axial view at T3 1. Body of T3 2. Body of manubrium sterni 3. Right brachiocephalic vein 4. Left brachiocephalic vein 5. Right subclavian artery 6. Right common carotid artery 7. Left common carotid artery 8. Left subclavian artery 9. Trachea 10. Oesophagus 11. Right scapula 12. Spine of scapula 13. Erector spinae muscle 14. Trapezius muscle 15. Supraspinatus muscle 16. Infraspinatus muscle 17. Subscapularis muscle 18. Deltoid muscle 19. Fat in axilla 20. Pectoralis minor muscle 21. Pectoralis major muscle 22. Subcutaneous fat
117
What is the following image? Identify the structures?
Axial CT Thorax, at level of T4 1. Body of T4 2. Thecal sac and spinal cord 3. Arch of aorta 4. SVC 5. Azygous vein 6. Trachea 7. Oesophagus 8. Erector spinae muscle 9. Trapezius muscle 10. Infraspinatus muscle 11. Subscapularis muscle 12. Pectoralis minor muscle 13. Pectoralis major muscle
118
What is the following image? Identify the structures?
Axial CT Thorax at level of T5 1. Body of T5 2. Sternum 3. Spinous process of T5 4. Ascending aorta 5. Descending aorta 6. SVC 7. Main pulmonary trunk 8. Right pulmonary artery 9. Left pulmonary artery 10. Carina 11. Left main bronchus 12. Oesophagus 13. Azygous vein 14. Azygo-oesophageal recess 15. Mediastinal fat
119
What is the following image? Identify the structures?
Cross section of thorax at level T6 Right: Right atrial appendage Right coronary artery Ascending aorta SVC Right pulmonary veins Oesophagus Azygous vein Left: Right ventricular outflow tract Left coronary artery Left atrial appendage Left pulmonary veins Descending aorta
120
What is the following image? Identify the structures?
Cross section of thorax at T8 Right: Right upper lobe Intra-atrial septum Oesophagus Azygo-oesophageal recess Right lower lobe Azygous vein Left: Pericardium Interventricular septum Lingula Left ventricular outflow tract and aortic valve Anterior leaflet of mitral valve Posterior leaflet of mitral valve Descending aorta Left lower lobe
121
What is the following image? Identify the structures?
Cross section of thorax at T10 Right: Left hepatic vein Middle hepatic vein Liver IVC Right hepatic vein Azygous & Heme-azygous veins Right lung Left: Subdiaphragmatic fat Oesophagogastic junction Fundus of stomach Spleen Descending aorta Left hemidiaphragm Left lung