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Anatomy & Radiology II – Practical – Labs 7,8,9

Costal pleura
What is the highlighted structure?
Costal pleura
diaphragmatic pleura
what is the arrow pointing to?
diaphragmatic pleura
#1 mediastinal pleura
#2 cervical pleura
What is #1?

What is #2?

#1 mediastinal pleura
#2 cervical pleura
costodiaphragmatic recess
Where is the probe extending into?
costodiaphragmatic recess
pulmonary ligament
Pinned structure?
pulmonary ligament
costal surface of the lung
What is the probe touching?
costal surface of the lung
mediastinal surface of the lung
What surface of the lung is visualized?
mediastinal surface of the lung
apex of the lungs
The arrows are pointing to the ______
apex of the lungs
superior lobe of right lung
what is the probe pointing to?
superior lobe of right lung
middle lobe of right lung
highlighted structure?
middle lobe of right lung
inferior lobe of right lung
highlighted structure?
inferior lobe of right lung
oblique fissure of the right lung = orange line
horizontal fissure of the right lung = red line
orange line?

red line?

oblique fissure of the right lung = orange line

horizontal fissure of the right lung = red line

oblique fissure of left lung
what are the blue arrows pointing to?
oblique fissure of left lung
#1-superior lobe of left lung
#2-inferior lobe of left lung
what are #1 and #2 respectively?
#1-superior lobe of left lung
#2-inferior lobe of left lung
pericardium
What is the probe touching?
pericardium
Which nerve runs anterior to the root of the lung?

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which vessels run anterior to the root of the lung?

phrenic nerve

pericardiacophrenic vessels

phrenic nerves 
innervate diaphragm
nerves pointed to?
phrenic nerves

innervate diaphragm

pericardiacophrenic vessels
red arrows are pointing to?
pericardiacophrenic vessels
pericardiacophrenic vessels
red arrows are pointing to?
pericardiacophrenic vessels
green line = anterior border of the right lung
red line = inferior border of right lung
blue line = posterior border of right lung
green 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
blue line = anterior border of left lung
red line = inferior border of left lung
green line = posterior border of left lung
blue 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
cardiac impression of left lung
blue box?
cardiac impression of left lung
cardiac notch of left lung
highlighted structure?
cardiac notch of left lung
tag with blue circle?

note: memorize the impressions in this picture. also note: groove for brachiocephalic vein = superior vena cava impression for our objectives

cardiac impression of right lung

key: look for the apex of the lung–> identify impressions from there

impression for SVC on right lung 
key: look for 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
arch of azygoes vein impression on right lung
green arrows point to?
arch of azygoes vein impression on right lung
lingula of lung
green circle is around?
lingula of lung
green line = posterior border of the left lung
red line = inferior border of the left lung
blue line = anterior border of the left lung
green 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
#1- aortic arch impression on left lung
#2- thoracic aorta impression on left lung
#1?

#2?

#1- aortic arch impression on left lung

#2- thoracic aorta impression on left lung

primary (main) bronchus
green?
primary (main) bronchus
primary (main) bronchus
green circle is around?
primary (main) bronchus
primary (main) bronchus
structure?
primary (main) bronchus
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?
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

segmental bronchi
structures?
segmental bronchi
red circles = pulmonary arteries; superior and posterior to veins
blue circles = pulmonary veins; inferior and anterior to arteries
red circles?
blue circle?
red circles = pulmonary arteries; superior and posterior to veins

blue circles = pulmonary veins; inferior and anterior to arteries

bronchial artery
orange circle?
bronchial artery
blue box = serous pericardium (breaking down the other two boxes)
green box = parietal layer of serous pericardium 
red box = visceral layer of serous pericardium
blue 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
transverse pericardial sinus
space where green straw is going through?
transverse pericardial sinus
oblique pericardial sinus
space where fingers are going?
oblique pericardial sinus
ascending aorta
structure?
ascending aorta
pulmonary trunk
structure?
pulmonary trunk
SVC
structure?
SVC
IVC
structure?
IVC
brachiocephalic trunk
structure?
brachiocephalic trunk
left brachiocephalic vein
structure?
left brachiocephalic vein
yellow = left brachiocephalic vein
green = right brachiocephalic vein 
purple = SVC
yellow circle?
green circle?
purple circle?
yellow = left brachiocephalic vein
green = right brachiocephalic vein
purple = SVC
l. and r. IJV = black circles
l. and r. brachiocephalic veins = red circles
black circles?
red circles?
l. and r. IJV = black circles

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l. and r. brachiocephalic veins = red circles

l. and r. subclavian veins
green circles?
l. and r. subclavian veins
arch of the aorta
structure?
arch of the aorta
yellow box = brachiocephalic trunk
blue box = right common carotid artery
orange box = r. subclavian artery
yellow box?
blue box?
orange box?
yellow box = brachiocephalic trunk
blue box = right common carotid artery
orange box = r. subclavian artery
ligamentum arteriosum
structure?
ligamentum arteriosum
phrenic nerves
pericardiacophrenic vessels
nerve structure in this area?
vessel structure in this area?
phrenic nerves
pericardiacophrenic vessels
left vagus nerve (wraps around aortic arch *anteriorly*; l. recurrent laryngeal emerges posteriorly behind the arch); right vagus nerve simply wraps around subclavian artery
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
left phrenic nerve
nerve?
left phrenic nerve
freebie- left and right recurrent laryngeal nerves
trachea
structure?
trachea
left primary bronchus
structure?
left primary bronchus
tracheobronchial lymph nodes
structure on probe tip?
tracheobronchial lymph nodes
carina; bifurcation of trachea into left and right primary bronchi
blue structure?
carina; bifurcation of trachea into left and right primary bronchi
orange circle = thoracic aorta
green circle = esophagus
orange circle?
green circle?
orange circle = thoracic aorta
green circle = esophagus
anterior esophageal plexus
structure?
anterior esophageal plexus
freebie- anterior vagal trunk, posterior vagal trunk and esophageal plexus
azygos vein
structure?
azygos vein
thoracic duct
structure?
thoracic duct
accessory hemiazygos
structure?
accessory hemiazygos
orange circle = accessory hemiazygos vein
red circle = hemiazygos vein
orange circle?
red circle?
orange circle = accessory hemiazygos vein
red circle = hemiazygos vein
esophageal artery
artery blue arrow is pointing to?
esophageal artery
esophageal arteries
arteries?
esophageal arteries
posterior intercostal arteries
arteries?
posterior intercostal arteries
freebie: right and left bronchial arteries; my guess is more likely to see at hilum of the lung view
posterior intercostal arteries
arteries under probe?
posterior intercostal arteries
posterior intercostal vein, artery and nerve (VAN) mnemonic
from superior to inferior you call out the neurovasculature under the probe:
posterior intercostal vein, artery and nerve (VAN) mnemonic
greater splanchic nerve
nerve?
greater splanchic nerve
thoracic sympathetic *ganglia* (
structure?
thoracic sympathetic *ganglia* (“bulb” of thoracic sympathetic trunk)
white and gray communicating rami
structures?
white and gray communicating rami
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
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

crista terminalis
pinned structure?
crista terminalis
right atrium
structure?
right atrium
left border of the heart
border?
left border of the heart
right border of the heart
border?
right border of the heart
freebie: left, right and inferior borders of the heart
.
#1-right ventricle
#2-left ventricle
grey box/#1?

white box/#2?

#1-right ventricle
#2-left ventricle
left auricle
structure?
left auricle
right pulmonary surface of the heart = purple
left pulmonary surface of the heart = green
purple arrow points to?

green arrow points to?

right pulmonary surface of the heart = purple
left pulmonary surface of the heart = green
left pulmonary artery
(right pulmonary artery passes inferior to aortic arch)
structure?
left pulmonary artery
(right pulmonary artery passes inferior to aortic arch)
opening of the IVC
structure?
opening of the IVC
right ventricle
structure?
right ventricle
right pulmonary veins 
(indicate superior/inferior)
structures?
right pulmonary veins
(indicate superior/inferior)
left pulmonary veins 
(indicate superior/inferior)
structures?
left pulmonary veins
(indicate superior/inferior)
opening of the IVC
structure?
opening of the IVC
coronary sinus
structure?
coronary sinus
anterior inter ventricular septum
structure?
anterior inter ventricular septum
apex of the heart
structure?
apex of the heart
coronary sulcus
structure?
coronary sulcus
ligamentum arteriosum
structure?
ligamentum arteriosum
posterior interventricular sulcus 
between left and right ventricles on diaphragmatic surface
structure?
posterior interventricular sulcus
between left and right ventricles on diaphragmatic surface
right auricle of the heart
structure?
right auricle of the heart
great cardiac vein
vein?
great cardiac vein
middle cardiac vein in 
in posterior interventricular sulcus
vein?
middle cardiac vein in
in posterior interventricular sulcus
small cardiac vein
vein?
small cardiac vein
RCA
artery?
RCA
freebie – sinoatrial nodal artery and right marginal artery
posteiror interventricular artery = red
small cardiac vein = yellow
middle cardiac vein = green
red? (artery)
yellow? (vein)
green? (vein)
posteiror interventricular artery = red
small cardiac vein = yellow
middle cardiac vein = green
freebie:
left anterior descending
artery?
left anterior descending
diagonal branch of LAD
artery?
diagonal branch of LAD
circumflex artery
artery?
circumflex artery
posterior interventricular artery
artery?
posterior interventricular artery
left marginal artery
artery?
left marginal artery
crista terminalis of right atrium
structure hidden by box?
crista terminalis of right atrium
freebie: opening of SVC
opening of IVC
pectinate muscles
pinned structure?
pectinate muscles
freebie: you see a flap of tissue over the opening of the IVC. structure?
valve of the IVC
opening of the coronary sinus;
it is anterior and adjacent to opening of the IVC
white box covers?
opening of the coronary sinus;
it is anterior and adjacent to opening of the IVC
interatrial septum
tag?
interatrial septum
white box = fossa ovalis
green arrows = limbus fossa ovalis
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

*muscular* interventricular septum
tag?
*muscular* interventricular septum
conus arteriosus of right ventricle
tag?
conus arteriosus of right ventricle
anterior and posterior pulmonary cusps
tag?
anterior and posterior pulmonary cusps
*muscular* interventricular septum
structure?
*muscular* interventricular septum
*membranous* interventricular septum
structure in green circle?
*membranous* interventricular septum
trabeculae carneae of the left ventricle
structures of left ventricle?
trabeculae carneae of the left ventricle
moderator band of right ventricle
structure?
moderator band of right ventricle
phrenic nerve, pericardiacophrenic artery and vein
what nerve would you expect to find here?
what artery and vein would you expect to find here?
phrenic nerve, pericardiacophrenic artery and vein
opening of the inferior vena cava
what is found at the location outlined in red?
opening of the inferior vena cava
diaphragmatic surface of the heart-
must see in lab
base of the heart
what view of the heart are we visualizing?
base of the heart
sternocostal surface of the heart
Which surface of the heart are we primarily visualizing?
sternocostal surface of the heart
blue circle = right pulmonary artery
red circle = left pulmonary artery
blue circle?
red circle?
blue circle = right pulmonary artery
red circle = left pulmonary artery
#1-posterior cardiac vein
#2- middle cardiac vein
#1?
#2?
#1-posterior cardiac vein
#2- middle cardiac vein
right marginal artery
?
right marginal artery
posterior descending artery (posterior interventricular artery), middle cardiac vein
artery here?
vein here?
posterior descending artery (posterior interventricular artery), middle cardiac vein
#1- left coronary artery
#2- left marginal artery
#1
#2
#1- left coronary artery
#2- left marginal artery
#1-right superior pulmonary vein
#2-right inferior pulmonary vein
#3-left superior pulmonary vein
#4-left inferior pulmonary vein
#1
#2
#3
#4
#1-right superior pulmonary vein
#2-right inferior pulmonary vein
#3-left superior pulmonary vein
#4-left inferior pulmonary vein
SVC opening anterior to aorta; use that as landmark
#1- SVC
#2- aorta
#3- pulmonary trunk
#1
#2
#3
SVC opening anterior to aorta; use that as landmark

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#1- SVC
#2- aorta
#3- pulmonary trunk

opening and valve of coronary sinus
#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
trabeculae carnae of right ventricle
probe is touching?
trabeculae carnae of right ventricle
conus arteriosus 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

-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
-valve of foramen ovale>must see on cadaver
pectinate muscles of left ventricle
>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
trabeculae carnae of the left ventricle
>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..

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Anatomy & Radiology II - Practical - Labs 7,8,9
Artscolumbia
Artscolumbia
Costal pleura
What is the highlighted structure?
Costal pleura
2018-10-20 02:11:42
2018-10-20 02:11:42
Anatomy & Radiology II - Practical - Labs 7,8,9
$ 13.900 2018-12-31
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