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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.
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 ...
Atlas image: lung_carina at the University of Michigan Health System - "Cast of trachea and bronchi, anterior view" (#2) [dead link ] "Trachea and carina — tomogram, coronal plane" at SUNY Downstate Medical Center Archived 2016-03-03 at the Wayback Machine
The polymorphic layer is often called the hilus or hilar region. [14] The neurons in the polymorphic layer, including mossy cells and GABAergic interneurons, primarily receive inputs from the granule cells in the dentate gyrus in the form of mossy fibers and project to the inner molecular layer of the dentate gyrus via the associational ...
Diagnosis usually by CT showing lobulated mass. Confirmation done by tissue biopsy of accompanying nodes if any, mediastinoscopy, mediastinotomy, or thoracotomy. FNA biopsy is usually not adequate. Treatment of mediastinal Hodgkin's involves chemotherapy and/or radiation. 5 year survival is now around 75%.
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.
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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.