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Bronchopulmonary nodes (hilar nodes) situate in the hilum of each lung. Pulmonary nodes are embedded the lung substance on the larger branches of the bronchi. The afferents of the tracheobronchial glands drain the lungs and bronchi, the thoracic part of the trachea and the heart ; some of the efferents of the posterior mediastinal glands also ...
The root of the right lung lies behind the superior vena cava and part of the right atrium, and below the azygos vein.That of the left lung passes beneath the aortic arch and in front of the descending aorta; the phrenic nerve, pericardiacophrenic artery and vein, and the anterior pulmonary plexus, lie in front of each, and the vagus nerve and posterior pulmonary plexus lie behind.
The lateral aortic lymph nodes, typically 15 to 20 on each side, are the ones usually chosen for dissection or biopsy in the treatment or diagnosis of cancer.. A dissection usually includes the region from the bifurcation of the aorta to the superior mesenteric artery or the renal veins.
The right and left [citation needed] paratracheal lymph nodes (or paratracheal chains [citation needed]) are lymph nodes in the neck [1] situated lateral to the trachea and esophagus alongside the recurrent laryngeal nerve. They drain to the deep cervical lymph nodes. [2]
This PA chest radiograph demonstrates an abnormal contour in the right hilar region, with visualization of the pulmonary vessels through the mass (the hilar overlay sign) indicating its posterior mediastinal location. On resection this was found to be a benign solitary fibrous tumor of the pleura.
[2] The carina occurs at the lower end of the trachea - usually at the level of the 4th to 5th thoracic vertebra . [ 3 ] [ 4 ] This is in line with the sternal angle , but the carina may raise or descend up to two vertebrae higher or lower with breathing .
Bilateral hilar lymphadenopathy is a bilateral enlargement of the lymph nodes of pulmonary hila. It is a radiographic term for the enlargement of mediastinal lymph nodes and is most commonly identified by a chest x-ray .
[1] The left supraclavicular nodes are the classical Virchow's node because they receive lymphatic drainage of most of the body (from the thoracic duct) and enters the venous circulation via the left subclavian vein. The metastasis may block the thoracic duct leading to regurgitation into the surrounding Virchow's nodes.
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