What is the highlighted structure?
Costal pleura
what is the arrow pointing to?
diaphragmatic pleura
What is #1?
What is #2?
#1 mediastinal pleura
#2 cervical pleura
#2 cervical pleura
Where is the probe extending into?
costodiaphragmatic recess
Pinned structure?
pulmonary ligament
What is the probe touching?
costal surface of the lung
What surface of the lung is visualized?
mediastinal surface of the lung
The arrows are pointing to the ______
apex of the lungs
what is the probe pointing to?
superior lobe of right lung
highlighted structure?
middle lobe of right lung
highlighted structure?
inferior lobe of right lung
orange line?
red line?
oblique fissure of the right lung = orange line
horizontal fissure of the right lung = red line
what are the blue arrows pointing to?
oblique fissure of left lung
what are #1 and #2 respectively?
#1-superior lobe of left lung
#2-inferior lobe of left lung
#2-inferior lobe of left lung
What is the probe touching?
pericardium
Which nerve runs anterior to the root of the lung?
which vessels run anterior to the root of the lung?
phrenic nerve
pericardiacophrenic vessels
nerves pointed to?
phrenic nerves
innervate diaphragm
red arrows are pointing to?
pericardiacophrenic vessels
red arrows are pointing to?
pericardiacophrenic vessels
green line?
red line?
blue line?
red line?
blue line?
green line = anterior border of the right lung
red line = inferior border of right lung
blue line = posterior border of right lung
red line = inferior border of right lung
blue line = posterior border of right lung
blue line?
red line?
green line?
red line?
green line?
blue line = anterior border of left lung
red line = inferior border of left lung
green line = posterior border of left lung
red line = inferior border of left lung
green line = posterior border of left lung
blue box?
cardiac impression of left lung
highlighted structure?
cardiac notch of left lung
cardiac impression of right lung
key: look for the apex of the lung–> identify impressions from there
blue lines point to?
impression for SVC on right lung
key: look for apex of the lung, identify impressions from there
key: look for apex of the lung, identify impressions from there
green arrows point to?
arch of azygoes vein impression on right lung
green circle is around?
lingula of lung
green line?
blue line?
red line?
blue line?
red line?
green line = posterior border of the left lung
red line = inferior border of the left lung
blue line = anterior border of the left lung
red line = inferior border of the left lung
blue line = anterior border of the left lung
#1?
#2?
#1- aortic arch impression on left lung
#2- thoracic aorta impression on left lung
green?
primary (main) bronchus
green circle is around?
primary (main) bronchus
structure?
primary (main) bronchus
structures?
lobar bronchus (secondary)
NOTE: be specific about location- superior, middle and inferior bronchus on right lung and superior and inferior bronchus on left lung. they go to the respective lobe
structures?
segmental bronchi
red circles?
blue circle?
blue circle?
red circles = pulmonary arteries; superior and posterior to veins
blue circles = pulmonary veins; inferior and anterior to arteries
orange circle?
bronchial artery
blue box?
green box?
red box?
green box?
red box?
blue box = serous pericardium (breaking down the other two boxes)
green box = parietal layer of serous pericardium
red box = visceral layer of serous pericardium
green box = parietal layer of serous pericardium
red box = visceral layer of serous pericardium
space where green straw is going through?
transverse pericardial sinus
space where fingers are going?
oblique pericardial sinus
structure?
ascending aorta
structure?
pulmonary trunk
structure?
SVC
structure?
IVC
structure?
brachiocephalic trunk
structure?
left brachiocephalic vein
yellow circle?
green circle?
purple circle?
green circle?
purple circle?
yellow = left brachiocephalic vein
green = right brachiocephalic vein
purple = SVC
green = right brachiocephalic vein
purple = SVC
black circles?
red circles?
red circles?
l. and r. IJV = black circles
l. and r. brachiocephalic veins = red circles
green circles?
l. and r. subclavian veins
structure?
arch of the aorta
yellow box?
blue box?
orange box?
blue box?
orange box?
yellow box = brachiocephalic trunk
blue box = right common carotid artery
orange box = r. subclavian artery
blue box = right common carotid artery
orange box = r. subclavian artery
structure?
ligamentum arteriosum
nerve structure in this area?
vessel structure in this area?
vessel structure in this area?
phrenic nerves
pericardiacophrenic vessels
pericardiacophrenic vessels
structure?
left vagus nerve (wraps around aortic arch *anteriorly*; l. recurrent laryngeal emerges posteriorly behind the arch); right vagus nerve simply wraps around subclavian artery
nerve?
left phrenic nerve
freebie- left and right recurrent laryngeal nerves
–
structure?
trachea
structure?
left primary bronchus
structure on probe tip?
tracheobronchial lymph nodes
blue structure?
carina; bifurcation of trachea into left and right primary bronchi
orange circle?
green circle?
green circle?
orange circle = thoracic aorta
green circle = esophagus
green circle = esophagus
structure?
anterior esophageal plexus
freebie- anterior vagal trunk, posterior vagal trunk and esophageal plexus
–
structure?
azygos vein
structure?
thoracic duct
structure?
accessory hemiazygos
orange circle?
red circle?
red circle?
orange circle = accessory hemiazygos vein
red circle = hemiazygos vein
red circle = hemiazygos vein
artery blue arrow is pointing to?
esophageal artery
arteries?
esophageal arteries
arteries?
posterior intercostal arteries
freebie: right and left bronchial arteries; my guess is more likely to see at hilum of the lung view
–
arteries under probe?
posterior intercostal arteries
from superior to inferior you call out the neurovasculature under the probe:
posterior intercostal vein, artery and nerve (VAN) mnemonic
nerve?
greater splanchic nerve
structure?
thoracic sympathetic *ganglia* (“bulb” of thoracic sympathetic trunk)
structures?
white and gray communicating rami
structures?
greater splanchnic nerve – formed by contributions from T5-T9 sympathetic ganglia, is the largest and most medial of these three
lesser splanchnic nerve – arises from T10-T11 sympathetic ganglia, is moderate in size and intermediate in position
least splanchnic nerve – arises from the T12 sympathetic ganglion, is the smallest and most lateral of these three
pinned structure?
crista terminalis
structure?
right atrium
border?
left border of the heart
border?
right border of the heart
freebie: left, right and inferior borders of the heart
.
grey box/#1?
white box/#2?
#1-right ventricle
#2-left ventricle
#2-left ventricle
structure?
left auricle
purple arrow points to?
green arrow points to?
right pulmonary surface of the heart = purple
left pulmonary surface of the heart = green
left pulmonary surface of the heart = green
structure?
left pulmonary artery
(right pulmonary artery passes inferior to aortic arch)
(right pulmonary artery passes inferior to aortic arch)
structure?
opening of the IVC
structure?
right ventricle
structures?
right pulmonary veins
(indicate superior/inferior)
(indicate superior/inferior)
structures?
left pulmonary veins
(indicate superior/inferior)
(indicate superior/inferior)
structure?
opening of the IVC
structure?
coronary sinus
structure?
anterior inter ventricular septum
structure?
apex of the heart
structure?
coronary sulcus
structure?
ligamentum arteriosum
structure?
posterior interventricular sulcus
between left and right ventricles on diaphragmatic surface
between left and right ventricles on diaphragmatic surface
structure?
right auricle of the heart
vein?
great cardiac vein
vein?
middle cardiac vein in
in posterior interventricular sulcus
in posterior interventricular sulcus
vein?
small cardiac vein
artery?
RCA
freebie – sinoatrial nodal artery and right marginal artery
–
red? (artery)
yellow? (vein)
green? (vein)
yellow? (vein)
green? (vein)
posteiror interventricular artery = red
small cardiac vein = yellow
middle cardiac vein = green
small cardiac vein = yellow
middle cardiac vein = green
freebie:
–
artery?
left anterior descending
artery?
diagonal branch of LAD
artery?
circumflex artery
artery?
posterior interventricular artery
artery?
left marginal artery
structure hidden by box?
crista terminalis of right atrium
freebie: opening of SVC
opening of IVC
opening of IVC
–
pinned structure?
pectinate muscles
freebie: you see a flap of tissue over the opening of the IVC. structure?
valve of the IVC
white box covers?
opening of the coronary sinus;
it is anterior and adjacent to opening of the IVC
it is anterior and adjacent to opening of the IVC
tag?
interatrial septum
what structure is concealed by the white box? What are the arrows pointing to (two answers)
white box = fossa ovalis
green arrows = limbus fossa ovalis
tag?
*muscular* interventricular septum
tag?
conus arteriosus of right ventricle
tag?
anterior and posterior pulmonary cusps
structure?
*muscular* interventricular septum
structure in green circle?
*membranous* interventricular septum
structures of left ventricle?
trabeculae carneae of the left ventricle
structure?
moderator band of right ventricle
what nerve would you expect to find here?
what artery and vein would you expect to find here?
what artery and vein would you expect to find here?
phrenic nerve, pericardiacophrenic artery and vein
what is found at the location outlined in red?
opening of the inferior vena cava
diaphragmatic surface of the heart-
must see in lab
must see in lab
–
what view of the heart are we visualizing?
base of the heart
Which surface of the heart are we primarily visualizing?
sternocostal surface of the heart
blue circle?
red circle?
red circle?
blue circle = right pulmonary artery
red circle = left pulmonary artery
red circle = left pulmonary artery
#1?
#2?
#2?
#1-posterior cardiac vein
#2- middle cardiac vein
#2- middle cardiac vein
?
right marginal artery
artery here?
vein here?
vein here?
posterior descending artery (posterior interventricular artery), middle cardiac vein
#1
#2
#2
#1- left coronary artery
#2- left marginal artery
#2- left marginal artery
#1
#2
#3
#4
#2
#3
#4
#1-right superior pulmonary vein
#2-right inferior pulmonary vein
#3-left superior pulmonary vein
#4-left inferior pulmonary vein
#2-right inferior pulmonary vein
#3-left superior pulmonary vein
#4-left inferior pulmonary vein
#1
#2
#3
#2
#3
SVC opening anterior to aorta; use that as landmark
#1- SVC
#2- aorta
#3- pulmonary trunk
#1?
opening and valve of coronary sinus
anterior cusp of tricuspid valve-must see in lab; anterior chorda tendinae – must see in lab
anterior papillary muscle – must see in lab
septal cusp of tricuspid valve – must see in lab
septal chordae tendinae – must see in lab
septal papillary muscle – must see in lab
posterior cusp of tricuspid valve – must see in lab
posterior chordae tendinae – must see in lab
posterior papillary muscle – must see in lab
anterior papillary muscle – must see in lab
septal cusp of tricuspid valve – must see in lab
septal chordae tendinae – must see in lab
septal papillary muscle – must see in lab
posterior cusp of tricuspid valve – must see in lab
posterior chordae tendinae – must see in lab
posterior papillary muscle – must see in lab
–
probe is touching?
trabeculae carnae of right ventricle
#1?
conus arteriosus of right ventricle
pulmonary valve of:
– anterior cusp of pulmonary semilunar valve
>nodule of anterior cusp of pulmonary semilunar valve
>lunule of anterior cusp of pulmonary semilunar valve
– anterior cusp of pulmonary semilunar valve
>nodule of anterior cusp of pulmonary semilunar valve
>lunule of anterior cusp of pulmonary semilunar valve
-right/left cusp of pulmonary semilunar valve
>nodule of right/left cusp of pulmonary semilunar valve
>lunule of right/left cusp of pulmonary semilunar valve
–
nodule of anterior cusp of pulmonary semilunar valve
lunule of anterior cusp of pulmonary semilunar valve
lunule of anterior cusp of pulmonary semilunar valve
–
-valve of foramen ovale>must see on cadaver
–
pectinate muscles of left ventricle
>must see on cadaver
>must see on cadaver
–
anterior cusp of mitral valve
> anterior cordae tendinae of mitral valve
>anterior papillary muscle of mitral valve
posterior cusp of mitral valve
>posterior chordae tendinae of mitral valve
>posterior papillary muscle of mitral valve
> anterior cordae tendinae of mitral valve
>anterior papillary muscle of mitral valve
posterior cusp of mitral valve
>posterior chordae tendinae of mitral valve
>posterior papillary muscle of mitral valve
–
trabeculae carnae of the left ventricle
>rough inner surface of left ventricular wall
>must see on cadaver
>rough inner surface of left ventricular wall
>must see on cadaver
–
-posterior cusp of aortic semilunar valve
>nodule of posterior cusp of aortic semilunar valve
>lunule of..
sinus of..
– right/left cusp of aortic semilunar valve
>nodule of..
lunule of..
sinus of..
>nodule of posterior cusp of aortic semilunar valve
>lunule of..
sinus of..
– right/left cusp of aortic semilunar valve
>nodule of..
lunule of..
sinus of..
–
