Lecture Notes - Lungs and Mediastina

The Lab Overview, a narrated PowerPoint presentation, is available on the web (password protected).

  1. Lung
    Apex
    Base (diaphragmatic surface)
    Fissures (interlobar)
    Oblique
    Horizontal (right lung only)
    Hilum
    Pulmonary ligament
    Lobes
    Right lung
         Superior lobe
         Middle lobe
         Inferior lobe
    Left lung
         Superior lobe
              Inferior (lingular) division
         Inferior lobe
         Cardiac notch
    Surface projection of lungs, fissures, pleura
  2. Trachea & bronchial tree
    Tracheal bifurcation
    Carina
    I° (Main right & left) bronchi
    II° (Lobar) bronchi
    III° (Segmental) bronchi
    Bronchopulmonary segments
         Superior segment of inferior lobe (right & left)
  3. Vessels of the lungs and superior mediastinum
    Aortic arch
    Brachiocephalic trunk
    Left common carotid a.
    Left subclavian a.
    Pulmonary aa. & vv.
    Bronchial aa. & vv.
    Azygos vein (arch)
    Brachiocephalic vv.
    Thymic vv.
    Inferior thyroid v.
    Internal thoracic vv. & aa.
    Left superior intercostal v.
    Superior vena cava (SVC)
  4. Lymphatics
    (Intra) Pulmonary
    Bronchopulmonary
    Tracheobronchial
    Superior & inferior
    Paratracheal
    Bronchomediastinal trunk
    Thoracic duct
  5. Nerves
    Pulmonary plexuses
    Esophageal plexus
    Cardiac plexus
    Phrenic n. - anterior to root of lung
    Vagus n. - posterior to root of lung
    Thoracic sympathetic trunk
       Thoracic ganglia
       Cervicothoracic (stellate) ganglion
       White & gray rami communicantes
       Greater thoracic splanchnic nn.
  6. Landmarks and osteology
    Posterior mediasinum (definition and boundaries)
  7. Viscera of the posterior mediastinum
    Esophagus
  8. Vessels of the posterior mediastinum
    Descending aorta
       Visceral branches
          Bronchial aa.
          Esophageal aa.
       Parietal branches
          Posterior intercostal aa. (3-11)
          Posterior branches of posterior intercostal aa.
          Subcostal aa. (12)
    Azygos venous system & associated veins
       Azygos v.
       Hemiazygos v.
       Accessory hemiazygos v.
       Superior intercostal vv. (left & right)
       Posterior intercostal vv. (segmentals)