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Normal Thoracic Anatomy and Common Variants

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Clinically Oriented Pulmonary Imaging

Part of the book series: Respiratory Medicine ((RM))

Abstract

The normal anatomy of the thorax includes anatomy of the airways, lung parenchyma, pleura and fissures, mediastinum, great vessels, and diaphragm. This chapter will describe normal anatomy of the thorax as well as anatomic relationships of these structures to each other. Common congenital anatomic variants of the thorax will also be discussed.

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References

  1. Holbert JM, Strollo DC. Imaging of the normal trachea. J Thorac Imaging. 1995 Summer;10(3):171–9.

    Google Scholar 

  2. Gamsu G, Webb WR. Computed tomography of the trachea: normal and abnormal. Am J Roentgenol. 1982;139(2):321–6.

    CAS  Google Scholar 

  3. Breatnach E, Abbott GC, Fraser RG. Dimensions of the normal human trachea. Am J Roentgenol. 1984;142(5):903–6.

    CAS  Google Scholar 

  4. Bhalla M, Noble ER, Shepard JA, McLoud TC. Normal position of trachea and anterior junction line on CT. J Comput Assist Tomogr. 1993;17(5):714–8.

    Google Scholar 

  5. Naidich DP, Terry PB, Stitik FP, Siegelman SS. Computed tomography of the bronchi: 1. Normal anatomy. J Comput Assist Tomogr. 1980;4(6):746–53.

    Google Scholar 

  6. Lee KS, Im JG, Bae WK, Kim YH, Jung SY, Lee BH, Han MC, Kim CW. CT anatomy of the lingular segmental bronchi. J Comput Assist Tomogr. 1991;15(1):86–91.

    Google Scholar 

  7. Atwell SW. Major anomalies of the tracheobronchial tree: with a list of the minor anomalies. Dis Chest. 1967;52(5):611–5.

    Article  PubMed  CAS  Google Scholar 

  8. Freeman SJ, Harvey JE, Goddard PR. Demonstration of supernumerary tracheal bronchus by computed tomographic scanning and magnetic resonance imaging. Thorax. 1995;50(4):426–7.

    Article  PubMed  CAS  Google Scholar 

  9. Wu JW, White CS, Meyer CA, Haramati LB, Mason AC. Variant bronchial anatomy: CT appearance and classification. Am J Roentgenol. 1999;172(3):741–4.

    CAS  Google Scholar 

  10. Desir A, Ghaye B. Congenital abnormalities of intrathoracic airways. RadiolClin North Am. 2009;47(2):203–25.

    Article  Google Scholar 

  11. Ghaye B, Szapiro D, Fanchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics. 2001;21(1):105–19.

    Google Scholar 

  12. Hosker HS, Clague HW, Morritt GN. Ectopic right upper lobe bronchus as a cause of breathlessness. Thorax. 1987;42(6):473–4.

    Article  PubMed  CAS  Google Scholar 

  13. Setty SP, Michaels AJ. Tracheal bronchus: case presentation, literature review, and discussion. J Trauma. 2000;49(5):943–5.

    Article  PubMed  CAS  Google Scholar 

  14. Endo S, Saitoh N, Murayama F, Sohara Y, Fuse K. Symptomatic accessory cardiac bronchus. Ann Thorac Surg. 2000;69(1):262–4.

    Article  PubMed  CAS  Google Scholar 

  15. Bentala M, Grijm K, van der Zee JH, Kloek JJ. Cardiac bronchus: a rare cause of hemoptysis. Eur J Cardiothorac Surg. 2002;22(4):643–5.

    Article  PubMed  CAS  Google Scholar 

  16. Jackson GD, Littleton JT. Simultaneous occurrence of anomalous cardiac and tracheal bronchi: a case study. J Thorac Imaging. 1988;3(1):59–60.

    Article  PubMed  CAS  Google Scholar 

  17. Landay MJ, Chaw C, Bordlee RP. Bilateral left lungs: unusual variation of hilar anatomy. AJR Am J Roentgenol. 1982;138(6):1162–4.

    CAS  Google Scholar 

  18. Webb WR. High resolution lung computed tomography. Normal anatomic and pathologic findings. RadiolClin North Am. 1991;29(5):1051–63.

    Google Scholar 

  19. Berend N, Rynell AC, Ward HE. Structure of a human pulmonary acinus. Thorax. 1991;46(2):117–21.

    Article  PubMed  CAS  Google Scholar 

  20. Helm EJ, Matin TN, Gleeson FV. Imaging of the pleura. J MagnReson Imaging. 2010;32(6):1275–86. doi: 10.1002/jmri.22372.

    Google Scholar 

  21. Jantz MA, Antony VB. Pathophysiology of the pleura. Respiration. 2008;75(2):121–33.

    Article  PubMed  Google Scholar 

  22. Cooper C, Moss AA, Buy JN, Stark DD. CT appearance of the normal inferior pulmonary ligament. Am J Roentgenol. 1983;141(2):237–40.

    CAS  Google Scholar 

  23. Hayashi K, Aziz A, Ashizawa K, Hayashi H, Nagaoki K, Otsuji H. Radiographic and CT appearances of the major fissures. Radiographics. 2001;21(4):861–74.

    Google Scholar 

  24. Aziz A, Ashizawa K, Nagaoki K, Hayashi K. High resolution CT anatomy of the pulmonary fissures. J Thorac Imaging. 2004;19(3):186–91.

    Google Scholar 

  25. Cronin P, Gross BH, Kelly AM, Patel S, Kazerooni EA, Carlos RC. Normal and accessory fissures of the lung: evaluation with contiguous volumetric thin-section multidetector CT. Eur J Radiol. 2010;75(2):e1–e8.

    Article  PubMed  Google Scholar 

  26. Ozmen CA, Nazaroglu H, Bayrak AH, Senturk S, Akay HO. Evaluation of interlobar and accessory pulmonary fissures on 64-row MDCT. Clin Anat. 2010;23(5):552–8.

    Google Scholar 

  27. Mahmut M, Nishitani H. Evaluation of pulmonary lobe variations using multidetector row computed tomography. J Comput Assist Tomogr. 2007;31(6):956–60.

    Google Scholar 

  28. Raasch BN, Carsky EW, Lane EJ, O’Callaghan JP, Heitzman ER. Radiographic anatomy of the interlobar fissures: a study of 100 specimens. Am J Roentgenol. 1982;138(6):1043–9.

    CAS  Google Scholar 

  29. Proto AV, Ball JB Jr. Computed tomography of the major and minor fissures. Am J Roentgenol. 1983;140(3):439–48.

    CAS  Google Scholar 

  30. Proto AV, Ball JB Jr. The superolateral major fissures. Am J Roentgenol. 1983;140(3):431–7.

    CAS  Google Scholar 

  31. Godwin JD, Tarver RD. Accessory fissures of the lung. Am J Roentgenol. 1985;144(1):39–47.

    CAS  Google Scholar 

  32. Godwin JD, Vock P, Osborne DR. CT of the pulmonary ligament. Am J Roentgenol. 1983;141(2):231–6.

    CAS  Google Scholar 

  33. Oshiro Y, Kusumoto M, Moriyama N, Kaneko M, Suzuki K, Asamura H, Kondo H, Tsuchiya R, Murayama S. Intrapulmonary lymph nodes: thin-section CT features of 19 nodules. J Comput Assist Tomogr. 2002;26(4):553–7.

    Google Scholar 

  34. Perez N, Lhoste-Trouilloud A, Boyer L, Michel JL, Escande G, Kemeny JL. Computed tomographic appearance of three intrapulmonary lymph nodes. Eur J Radiol. 1998;28(2):147–9.

    Article  PubMed  CAS  Google Scholar 

  35. Bankoff MS, McEniff NJ, Bhadelia RA, Garcia-Moliner M, Daly BD. Prevalence of pathologically proven intrapulmonary lymph nodes and their appearance on CT. Am J Roentgenol. 1996;167(3):629–30.

    CAS  Google Scholar 

  36. Gibbs JM, Chandrasekhar CA, Ferguson EC, Oldham SA. Lines and stripes: where did they go?–From conventional radiography to CT. Radiographics. 2007;27(1):33–48.

    Google Scholar 

  37. Franquet T, Erasmus JJ, Giménez A, Rossi S, Prats R. The retrotracheal space: normal anatomic and pathologic appearances. Radiographics. 2002;Spec No:S231–46.

    Google Scholar 

  38. Miller FH, Fitzgerald SW, Donaldson JS. CT of the azygoesophageal recess in infants and children. Radiographics. 1993;13(3):623–34.

    PubMed  CAS  Google Scholar 

  39. Ferdele MP, Rosado-de-Christenson ML, Woodward PJ, Abbott GF, Shaaban AM. Diagnostic and Surgical Imaging Anatomy: Chest, Abdomen, Pelvis: Published by Amirsys®.

    Google Scholar 

  40. Genereux GP, Howie JL. Normal mediastinal lymph node size and number: CT and anatomic study. Am J Roentgenol. 1984;142(6):1095–100.

    CAS  Google Scholar 

  41. Mountain CF, Dresler CM. Regional lymph node classification for lung cancer staging. Chest. 1997;111(6):1718–23.

    Article  PubMed  CAS  Google Scholar 

  42. Moore AV, Korobkin M, Olanow W, Heaston DK, Ram PC, Dunnick NR, Silverman PM. Age-related changes in the thymus gland: CT-pathologic correlation. Am J Roentgenol. 1983;141(2):241–6.

    CAS  Google Scholar 

  43. St Amour TE, Siegel MJ, Glazer HS, Nadel SN. CT appearances of the normal and abnormal thymus in childhood.J Comput Assist Tomogr. 1987;11(4):645–50.

    Google Scholar 

  44. Heiberg E, Wolverson MK, Sundaram M, Nouri S. Normal thymus: CT characteristics in subjects under age 20. Am J Roentgenol. 1982;138(3):491–4.

    CAS  Google Scholar 

  45. Swischuk LE, John SD. AJR Normal thymus extending between the right brachiocephalic vein and the innominate artery. Am J Roentgenol. 1996;166(6):1462–4.

    CAS  Google Scholar 

  46. Rollins NK, Currarino G. MR imaging of posterior mediastinal thymus. J Comput Assist Tomogr. 1988;12(3):518–20.

    Google Scholar 

  47. Godwin JD, Chen JT. Thoracic venous anatomy. Am J Roentgenol. 1986;147(4):674–84.

    CAS  Google Scholar 

  48. Takasugi JE, Godwin JD. CT appearance of the retroaortic anastomoses of the azygos system. Am J Roentgenol. 1990;154(1):41–4.

    CAS  Google Scholar 

  49. Friedman AC, Chambers E, Sprayregen S. The normal and abnormal left superior intercostal vein. Am J Roentgenol. 1978;131(4):599–2.

    CAS  Google Scholar 

  50. Ratliff HL, Yousufuddin M, Lieving WR, Watson BE, Malas A, Rosencrance G, McCowan RJ. Persistent left superior vena cava: case reports and clinical implications. Int J Cardiol. 2006;113(2):242–6.

    Google Scholar 

  51. Kuriyama K, Gamsu G, Stern RG, Cann CE, Herfkens RJ, Brundage BH. CT-determined pulmonary artery diameters in predicting pulmonary hypertension. Invest Radiol. 1984;19(1):16–22.

    Google Scholar 

  52. Jakanani GC, Adair W. Frequency of variations in aortic arch anatomy depicted on multidetector CT. ClinRadiol. 2010;65(6):481–7.

    CAS  Google Scholar 

  53. Hernanz-Schulman M. Vascular rings: a practical approach to imaging diagnosis. PediatrRadiol. 2005;35(10):961–79.

    Google Scholar 

  54. Genereux GP. Conventional tomographic hilar anatomy emphasizing the pulmonary veins. Am J Roentgenol. 1983;141(6):1241–57.

    CAS  Google Scholar 

  55. Naidich DP, Khouri NF, Scott WW Jr, Wang KP, Siegelman SS. Computed tomography of the pulmonary hila: 1. normal anatomy. J Comput Assist Tomogr. 1981;5(4):459–67.

    Google Scholar 

  56. Panicek DM, Benson CB, Gottlieb RH, Heitzman ER. The diaphragm: anatomic, pathologic, and radiologic considerations. Radiographics. 1988;8(3):385–25.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Northwestern University, Suite 800, 676 North St. Clair Street, Chicago, IL, 60611, USA

    Arlene Sirajuddin

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  1. Arlene Sirajuddin
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Correspondence to Arlene Sirajuddin .

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Editors and Affiliations

  1. , Cardiothoracic Radiology, University of Wisconsin Hospital and Cli, 600 Highland Ave., Madison, 53792, USA

    Jeffrey P. Kanne

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Sirajuddin, A. (2012). Normal Thoracic Anatomy and Common Variants. In: Kanne, J. (eds) Clinically Oriented Pulmonary Imaging. Respiratory Medicine. Humana Press. https://doi.org/10.1007/978-1-61779-542-8_1

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  • DOI: https://doi.org/10.1007/978-1-61779-542-8_1

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-61779-541-1

  • Online ISBN: 978-1-61779-542-8

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