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Anatomi CT Scan Thorax
Anatomi CT Scan Thorax
On campus students must draw and identify the anatomy on the line-
drawings on the next slide. Students in the degree completion course
should have an understanding of vascular anatomy that make testing on the
drawings unnecessary. But if you need a refresher try these drawings. The
ability to visualize these structures is important to the study of cross sectional
anatomy of the thorax.
Images 8 & 7
Images 8-5
Reference
1. Rt brachiocephalic vein
2. Lt brachiocephalic vein
3. Brachiocephalic artery
4. Lt common carotid artery*
5. Lt subclavian artery
6. Spine of the Rt scapula (scapular spine)
2
* Because the Lt common carotid is against 4
the Lt brachiocephalic vein the two blend 1
together. 3 5
Images 6 & 5
6 Reference
1. Rt brachiocephalic vein
2 2. Lt brachiocephalic vein
1 3 4
5 3. Brachiocephalic artery
4. Lt common carotid artery
8 5. Lt subclavian artery
6. Rt sternoclavicular articulation (joint)
7 7. Rt lamina of a thoracic vertebra (16) (17)
8. Rt. pedicle of a thoracic vertebra
15 10 11
9. Rt. subclavian artery
10. Rt common carotid artery
11. Lt axillary vein*
13 12
9 12. Lt subclavian vein
14 13. Lt. internal jugular vein**
14. Rt subclavian vein
15. Sternal end of Rt. clavicle
* The circular part of the Rt subclavian artery (in the mediastinum) has been seen in previous sections.
Now we see the lateral part of the artery after it crossed the apex of the lung and dropped back into
view on this section, as it heads toward the axillary artery.
** Compare the relationship of the subclavian artery and vein to plate 412 (429). The arrow (#2) points to the
area where a subclavian (central venous) catheter is punctured.
*** Unlike the Rt side, the lateral portion of the Lt subclavian does not come into view in this study.
Images 2 & 1
Reference
7 6
* ** 9
Images 12 & 13
Reference
6. Azygos vein
7. Pulmonary trunk
8. Esophagus
8 5
6
Images 14 & 15
Images 14-17
Reference
Images 16 & 17
Another Look
1. Rt pulmonary artery
2. Lt pulmonary artery
3. Pulmonary trunk
4. Ascending aorta
5. Rt pulmonary vein
6. Lt pulmonary vein
7. Thoracic aorta
4 3
1
2
2
1. Rt atrium
1 2. Rt ventricle
4
3. Lt atrium
4. Lt ventricle
3
The divisions between the chambers of the heart
become a bit vague, especially on image 19, but
there is no doubt where they are.
2
1
4
3
Images 18 & 19
Images 18-21
Reference
5 8
1. Rt atrium
2. Lt atrium 3
1
3. Rt ventricle
4. Lt ventricle 7 4
5. Rt atrioventricular septum
6. Lt atrioventricular septum
2 6
7. Interatrial septum
8. Interventricular septum
Images 20 & 21
Reference
1 3 1. Rt ventricle
2. Lt ventricle
3. Interventricular septum
4 2 4. Inferior vena cava (216) (220)
5. Coronary sinus (210, 216) (214, 220)
5 6. Esophagus
6
7. Liver
8. Dome of the Lt hemidiaphragm*
9. Pericardial sac (pericardium) (211, 214, 215)
(215, 218, 219)
* The hazy appearance of the dome and the
pulmonary vasculature in the base of the Lt.
lung are seen together due to the partial
9 volume effect. This is a good demonstration
of two separate structures imaged in a one cm
cut thickness.
7 Pulmonary vasculature
4
6
8
1 cm cut
thickness {
Dome of diaphragm
Images 22 & 23
Image
s 22-
25
Reference
1. Rt ventricle
2. Lt ventricle 1
3. Posterior interventricular branch of the 3
Rt coronary artery (Posterior descending 2
artery) (212) (216)
4. Spleen
4
5. Stomach
6. Intrahepatic inferior vena cava
7. Abdominal aorta
6 5
7
Images 24 & 25
1. Superior vena cava
2. Ascending aorta
3. Rt pulmonary artery
4. Descending aorta
2 5. Lt pulmonary artery
1 3
5
4 Another Look: Double Window
Another Look
This double windowed image of the thorax utilizes a cut and paste type of function
to combine a lung window and water density window in a single image. The
disadvantage is a loss of spatial resolution at the edges of the lung fields. Can you
identify the mediastinal structures? Click for the legend.